Background/introduction
Numerous studies are reporting increasing radiation exposure from medical imaging,
in adults as well as in children who are more sensitive to radition induced cancer (1,2).
In developed countries,
the average per capita dose is already almost as large as radiation exposure from natural sources.
E.g.
in Germany,
radiation exposure from natural sources is estimated at 2,1 mSv/year/person,
whereas exposure from medical imaging is estimated at 1,8 mSv/year/person (3).
In Switzerland,
exposure from medical imaging has been estimated at 1,4 mSv/Year/person in 2013,
of which...
Description of activity and work performed
Research questions:
1.
How high is the rate of patients in which a CT has been performed before appendectomy,
dependent on the year of discharge from hospital (2009 - 2016) and age group?
2.
Does the probability of undergoing a CT as part of an hospital stay for appendectomy change with the number of FTE held in the hospital by specialists in radiology?
Methods:
The Austrian Federal Ministry of Labour,
Social Affairs,
Health and Consumer Protection commands a database for documentation of diagnoses and services...
Conclusion and recommendations
Within the study period between 2009 and 2016,
the rate of preoperative CT examinations in patients undergoing appendectomy in Austria has been strongly dependent on the patient age.
Children up to 14 years had a CT examination only in 1,1 - 1,2% of cases.
This low rate of CT has remained unchanged in the study period,
probaby representing a high level of radiation protection consciousness in Austria,
and the availability of alternative imaging methods without ionizing radiation,
namely ultrasound.
In adult patients the rate of...
Personal/organisational information
OA Dr.Gerald Pärtan
Institit für Röntgendiagnostik
Donauspital im SMZ Ost
Langobardenstrasse 122,
1220 Wien,
Austria
Tel.: +43-1-28802-744939
[email protected]
David Wachabauer,
BSc,
BSc,
MSc
Gesundheit Österreich GmbH
Stubenring 6, 1010 Wien,
Austria
Scientific staff member
Planning and Systems Development
+43 1 515 61-354
[email protected]
This study was funded by the Austrian Society for Radiation Protection in Medicine (VMSÖ),
www.strahlenschutz.org.
References
Smith-Bindman R,
Miglioretti DL,
Johnson E,
et al.
Use of Diagnostic Imaging Studies and Associated Radiation Exposure for Patients Enrolled in Large Integrated Health Care Systems,
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2012;307(22):2400–2409.
doi:10.1001/jama.2012.5960
Miglioretti DL,
Johnson E,
Williams A,
et al.
The Use of Computed Tomography in Pediatrics and the Associated Radiation Exposure and Estimated Cancer Risk.
JAMA Pediatr.
2013;167(8):700–707.
doi:10.1001/jamapediatrics.2013.311
http://www.bfs.de/DE/themen/ion/umwelt/natuerliche-strahlenbelastung/natuerliche-strahlenbelastung_node.html
https://www.bag.admin.ch/bag/de/home/gesund-leben/umwelt-und-gesundheit/strahlung-radioaktivitaet-schall/strahlung-gesundheit/strahlenexposition-der-schweizer-bevoelkerung.html
Nekolla E,
Truckenbrodt R,
Griebel J,
Brix G.
Abschätzung der Häufigkeit alternativer bildgebender Diagnoseverfahren in Deutschland: 1996–2001.
RöFo - Fortschritte auf dem Gebiet der R...