Evidence map›Paper›PMID 39144696›Full record

ArticleBJR open2024

Improvement in paediatric CT use and justification: a single-centre experience.

Mariliis Tiidermann, Triin Pihlakas, Juhan Saaring, Janelle Märs, Jaanika Aasmäe, Kristiina Langemets, Mare Lintrop, Pille Kool, Pilvi Ilves

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJR open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mariliis TiidermannDepartment of Radiology, Institute of Clinical Medicine, University of Tartu, Ülikooli 18, Tartu 50090, Estonia.ORCID https://orcid.org/0000-0002-4713-4589
Triin PihlakasDepartment of Radiology, Institute of Clinical Medicine, University of Tartu, Ülikooli 18, Tartu 50090, Estonia.
Juhan SaaringRadiology Clinic, Tartu University Hospital , L. Puusepa 8, Tartu 50406, Estonia.ORCID https://orcid.org/0000-0002-7754-663X
Janelle MärsRadiology Clinic, Tartu University Hospital , L. Puusepa 8, Tartu 50406, Estonia.
Jaanika AasmäeRadiology Clinic, Tartu University Hospital , L. Puusepa 8, Tartu 50406, Estonia.
Kristiina LangemetsRadiology Clinic, Tartu University Hospital , L. Puusepa 8, Tartu 50406, Estonia.
Mare LintropDepartment of Radiology, Institute of Clinical Medicine, University of Tartu, Ülikooli 18, Tartu 50090, Estonia.
Pille KoolDepartment of Radiology, Institute of Clinical Medicine, University of Tartu, Ülikooli 18, Tartu 50090, Estonia.
Pilvi IlvesDepartment of Radiology, Institute of Clinical Medicine, University of Tartu, Ülikooli 18, Tartu 50090, Estonia.ORCID https://orcid.org/0000-0002-0094-4998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To analyse changes in the use of paediatric (≤16 years) CT over the past decade and to evaluate the appropriateness of CT examinations at a tertiary teaching hospital. Methods: Data from 290 paediatric CTs were prospectively collected in 2022 and compared with data from 2017 (358 cases) and 2012 (538 cases). The justification of CTs was evaluated with regard to medical imaging referral guidelines and appropriateness rates were calculated. Results: Paediatric CTs decreased 39.4% over the 10 years, contrasting with a 27.6% increase in overall CTs. Paediatric CTs as the share of overall CTs dropped from 2.5% in 2012 to 1.1% in 2022 ( Conclusions: Justification of CT scans can be improved by regular educational interventions, increasing MRI accessibility, and evaluating the appropriateness of the requested CT before the examination. Interventions for a more effective implementation of referral guidelines are needed. Advances in knowledge: The focus for improvement should be CTs for head and cervical spine trauma, accounting for the majority of inappropriate requests in the paediatric population.

Indexed as

appropriatenesscomputed tomographyCTguidelinesjustificationmagnetic resonance imagingMRIpaediatricradiation protectionreferral

Identifiers

PMID39144696
PMCPMC11322280

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.