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02 September 2019 : Clinical Research  

Awareness of Risks Associated with the Use of Plain X-Ray, Computed Tomography, and Magnetic Resonance Imaging Among Emergency Physicians and Comparison with that of Other Physicians: A Survey from Turkey

Mehmet Cihat Demir1ABCDEF*, Meltem Akkas2ABCDEF

DOI: 10.12659/MSM.918381

Med Sci Monit 2019; 25:6587-6597

Abstract

BACKGROUND: Increased use of radiological imaging in all departments of medicine, especially in the Emergency Department, requires that physicians have a high level of knowledge regarding commonly used imaging methods and high awareness of the risks of examinations.

MATERIAL AND METHODS: The physicians were divided into 5 groups according to their specialties as emergency medicine physicians (EMPs), physicians from any specialty of internal sciences, physicians from any specialty of surgical sciences, general practitioners (GPs), and radiologists. A total of 700 physicians answered the questionnaire via email.

RESULTS: 15.7% of EMPs reported that they did not routinely perform any risk assessment before requesting computed tomography (CT); the rate was 17.9% for direct radiography and 29.3% for magnetic resonance imaging (MRI). The proportions of physicians who do not routinely perform risk assessments for direct radiography, CT, and MRI were as follows: 16.4%, 8.6%, and 19.3% in physicians from medical sciences, respectively; 25%, 22.9%, and 35% in physicians from surgical sciences, respectively; 24.3%, 14.3%, and 37.1% in GPs, respectively; and 27.1%, 22.1% and 37.1% in radiologists, respectively. In all radiological examinations, 1.4% of EMPs and ≤1.4% of other physicians routinely explain the risks associated with the imaging method to the patients, and discuss the risks and benefits of the imaging with the patients.

CONCLUSIONS: All physicians, including EMPs, need to undergo urgent training to increase their knowledge on risks of imaging methods and discussion of existing risks with patients.

Keywords: Education, Medical, Continuing, Radiologic Health, Risk Assessment, Emergency Service, Hospital, Health Knowledge, Attitudes, Practice, Humans, Magnetic Resonance Imaging, Physicians, self-assessment, Surveys and Questionnaires, Tomography, X-Ray Computed, Turkey, X-Rays

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750