Radiological (un)awareness in cardiologists, and how to improve it: the SUIT-Heart (Stop Useless Imaging Testing in Heart Disease) Project (Articolo in rivista)

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  • Radiological (un)awareness in cardiologists, and how to improve it: the SUIT-Heart (Stop Useless Imaging Testing in Heart Disease) Project (Articolo in rivista) (literal)
Anno
  • 2010-01-01T00:00:00+01:00 (literal)
Alternative label
  • Kraft G.; Carpeggiani C.; Caramella D.; Lazzeri M.; Traino C.; Picano E. (2010)
    Radiological (un)awareness in cardiologists, and how to improve it: the SUIT-Heart (Stop Useless Imaging Testing in Heart Disease) Project
    in European heart journal
    (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
  • Kraft G.; Carpeggiani C.; Caramella D.; Lazzeri M.; Traino C.; Picano E. (literal)
Pagina inizio
  • 237 (literal)
Pagina fine
  • 237 (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
  • 31 (literal)
Rivista
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#note
  • In: European Heart Journal. Abstract, vol. 31 (1 (Abstract Supplement)) pp. 237 - 237. Oxford University Press, 2010. (literal)
Note
  • ISI Web of Science (WOS) (literal)
Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
  • CNR-IIT, Pisa, CNR - Ist. Fisiologia Clinica, Dipartimento Radiologia - Università di Pisa, Fisica Sanitaria - AOUP Pisa (literal)
Titolo
  • Radiological (un)awareness in cardiologists, and how to improve it: the SUIT-Heart (Stop Useless Imaging Testing in Heart Disease) Project (literal)
Abstract
  • Background. International Atomic Energy Agency launched in September 2009 the \"3 A?s campaign\": Audit, Appropriateness and Awareness for radiological justification, which is an effective tool for cancer prevention. Cardiologists prescribe the majority of radiological testing, but their awareness of doses and risks of cardio-radiological exams is low. Aim. To assess radiological awareness of cardiologists before and after 1-day intensive radioprotection primer course as a part of the SUIT-Heart (Stop Useless Imaging Testing in Heart Disease) project, funded by the Tuscany Region. Methods. A 1-day 6-hours primer of radioprotection for cardiologists was held 9 times over 3 years for 294 physicians (8 educational credits by the Italian Health Ministry). For each attendee, a radiological awareness score was obtained before and after the course, with a 10 multiple-choice (5 answers) survey on radioprotection basics (doses of common examinations in multiples of chest x-rays; associated cancer risk, etc...). Each answer was scored from 0 (\"don?t know\") to 4 (?right?). Awareness score ranged from 0/40 (no awareness) to 40/40 (full awareness). Results. The radiological awareness score of the 294 attendees improved from 31±3 (before) to 37±2 (after training, p.001 vs pre). At baseline, 47 physicians (15.9%) thought that radiation risk is independent from age and gender (whereas it is 4-fold higher in children 1 year and 38% higher in females), 196 (66.6%) that stochastic cancer risk is absent and 65 (22.1%) that radiation risk disappears over time (whereas it is cumulative over the lifetime): see figure. Conclusions: Awareness of radiological doses and risks, albeit essential for risk-benefit assessment of radiological testing, is poor among cardiologists, but can dramatically improve with a limited teaching effort through targeted training (literal)
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