Perception of Orthopedics Surgeons about the Risks of Radiation Exposure in Fluoroscopy

Rev Bras Ortop (Sao Paulo). 2022 Jul 14;57(4):546-551. doi: 10.1055/s-0042-1748968. eCollection 2022 Aug.

Abstract

Objective The present study aims to understand the perceptions of orthopedists and traumatologists regarding the risk of exposure to ionizing radiation in fluoroscopy procedures. Methods An objective, structured, self-administered questionnaire with sociodemographic, professional, and occupational variables was developed, available through an invitation sent to orthopedist physicians whose contacts were made publicly available. Results A total of 141 questionnaires were answered and analyzed. Most respondents (99%) use fluoroscopy in their surgeries, and only 34.8% of the participants feel safe with the use of the equipment. It was observed that the knowledge about ionizing radiation is inadequate, because 22.6% of the participants are unaware of the type of radiation emitted in fluoroscopy and its biological effects. In addition, 52% of the participants did not know or do not understand the principles of radiological protection and their relationship with surgical practices. Conclusion We concluded that the radiological protection of most orthopedists in surgical procedures is inadequate, and initial and continued training programs of professionals are necessary, bringing health benefits to orthopedists and their patients.

Keywords: X-rays; orthopedic; radiation exposure; radiation, ionizing; risk assessment; surveys and questionnaires.

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