A questionnaire survey on radiation protection among 282 medical staff from 26 endoscopy‐fluoroscopy departments in Japan

Hayashi, Shiro; Takenaka, Mamoru; Kogure, Hirofumi; Yakushijin, Takayuki; Maruyama, Hirotsugu; Hori, Yasuki; Yoshio, Toshiyuki; Ikezawa, Kenji; Takagi, Tadayuki; Asai, Satoshi; Matsunaga, Kazuhiro; Matsumoto, Kengo; Tsumura, Hidetaka; Yamaguchi, Shinjiro; Sumiyoshi, Tetsuya; Nagaike, Koji; Tamaru, Yuzuru; Hara, Kazuo; Fujisawa, Toshio; Oda, Ichiro; Ohnita, Ken; Kato, Motohiko; Nebiki, Hiroko; Mikami, Taisei; Nishihara, Akihiro; Egawa, Satoshi; Minami, Ryuki; Hosono, Makoto; Nishida, Tsutomu

doi:10.1002/deo2.5

Cited by 11 publications

(13 citation statements)

References 20 publications

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“…Dosimeter wearing was extremely low among doctors (60%), unlike nurses (94%) and technologists (92%), which was similar to a previous report 9 and showed improvement by 8% from 52% of previous surveys but still is not enough (Figure S1). Similarly, surveys in other countries have reported low rates of doctors wearing dosimeters, and we believe that this is a common trend among doctors 6,12 .…”

Section: Discussionsupporting

confidence: 86%

“…With this background, we conducted a survey on radiation protection for medical staff in endoscopy departments in Japan in 2020. This study revealed that staff did not have enough radiation protection equipment or education 9 . We speculate that this may be due to insufficient awareness‐raising activities by gastroenterology‐related societies in Japan.…”

Section: Introductionmentioning

confidence: 82%

“…The study period was from May 2022 to June 2022. We e‐mailed participants in a previous study, 9 the REX‐GI study 10 and the Fight Japan study group, and enrolled doctors, nurses, and radiological and endoscopy technicians in each fluoroscopic endoscopy suite of the previous participating facilities. The participants provided informed consent at the beginning of the survey and answered an anonymous, online questionnaire using Google Forms.…”

Section: Methodsmentioning

confidence: 99%

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A follow‐up questionnaire survey 2022 on radiation protection among 464 medical staff from 34 endoscopy–fluoroscopy departments in Japan

et al. 2023

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Objectives We surveyed and reported low protective equipment usage and insufficient knowledge among endoscopy‐fluoroscopy departments in Japan in 2020. Two years later, we conducted a follow‐up survey of doctors, nurses, and technologists in Japan. Methods We conducted a questionnaire survey on radiation protection from May to June 2022. The participants were medical staff, including doctors, nurses, and radiological and endoscopy technicians in endoscopy‐fluoroscopy departments. The questionnaire included 17 multiple‐choice questions divided into three parts: background, equipment, and knowledge. Results We surveyed 464 subjects from 34 institutions. There were 267 doctors (58%), 153 nurses (33%), and 44 technologists (9%). The rate of wearing a lead apron was 98% in this study. The rates of wearing a thyroid collar, lead glasses, and radiation dosimeter were 27%, 35%, and 74%, respectively. The trend of the protective equipment rate was similar to that of our previous study; however, radiation dosimetry among doctors was still low at 58%. The percentage of subjects who knew the radiation exposure (REX) dose of each procedure was low at 18%. Seventy‐six percent of the subjects attended lectures on radiation protection, and 73% knew about the three principles of radiation protection; however, the concept of diagnostic reference levels was not well known (18%). Approximately 60% of the subjects knew about the exposure dose increasing cancer mortality (63%) and the 5‐year lens REX limit (56%). Conclusions There was some improvement in radiation protection equipment or education, but relatively little compared to the 2020 survey of endoscopy departments.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 82%

Section: Methodsmentioning

confidence: 99%

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A follow‐up questionnaire survey 2022 on radiation protection among 464 medical staff from 34 endoscopy–fluoroscopy departments in Japan

et al. 2023

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“…Surprisingly, the wearing rate of endoscopists was reported to be 27% for a thyroid shield and 21% for lead glasses. 48 This indicates that gastroenterologists are regrettably still insufficiently aware of radiation protection. In addition, with the advent of the coronavirus disease 2019 (COVID-19), endoscopists are also required to wear face guards to protect against infection during procedures (Fig.…”

Section: Shieldingmentioning

confidence: 99%

“…However, many gastroenterologists do not routinely wear protective clothing during FGEP examinations. Surprisingly, the wearing rate of endoscopists was reported to be 27% for a thyroid shield and 21% for lead glasses 48 . This indicates that gastroenterologists are regrettably still insufficiently aware of radiation protection.…”

Section: Occupational Radiological Protection In Fgepsmentioning

confidence: 99%

How should radiation exposure be handled in fluoroscopy‐guided endoscopic procedures in the field of gastroenterology?

Takenaka

Hosono

Hayashi

et al. 2022

Digestive Endoscopy

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Fluoroscopy‐guided endoscopic procedures (FGEPs) are rapidly gaining popularity in the field of gastroenterology. Radiation is a well‐known health hazard. Gastroenterologists who perform FGEPs are required to protect themselves, patients, as well as nurses and radiologists engaged in examinations from radiation exposure. To achieve this, all gastroenterologists must first understand and adhere to the International Commission on Radiological Protection Publication. In particular, it is necessary to understand the three principles of radiation protection (Justification, Optimization, and Dose Limits), the As Low As Reasonably Achievable principle, and the Diagnostic Reference Levels (DRLs) according to them. This review will mainly explain the three principles of radiation exposure protection, DRLs, and occupational radiological protection in interventional procedures while introducing related findings. Gastroenterologists must gain knowledge of radiation exposure protection and keep it updated.

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Trends in the use of radiation protection and radiation exposure of European endourologists: a prospective trial from the EULIS-YAU Endourology Group

Fontanet Soler,

Bravo-Balado,

Skolarikos

et al. 2024

World J Urol

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A questionnaire survey on radiation protection among 282 medical staff from 26 endoscopy‐fluoroscopy departments in Japan

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 11 publications

References 20 publications

A follow‐up questionnaire survey 2022 on radiation protection among 464 medical staff from 34 endoscopy–fluoroscopy departments in Japan

A follow‐up questionnaire survey 2022 on radiation protection among 464 medical staff from 34 endoscopy–fluoroscopy departments in Japan

How should radiation exposure be handled in fluoroscopy‐guided endoscopic procedures in the field of gastroenterology?

Trends in the use of radiation protection and radiation exposure of European endourologists: a prospective trial from the EULIS-YAU Endourology Group

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