Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014

ABSTRACT   Computed tomography (CT) is an indispensable imaging technique, but radiation exposure from CT scans is of concern mainly due to the potential risk of developing cancer, mainly in children. Our group recently showed that CT use has greatly increased among outpatients using the Brazilian...

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Main Authors: Ana Cristina Murta Dovales, Tainá Olivieri Chaves, Paulo Roberto Valle Bahia, Marcela Brisighelli Schaefer, Bruna Bonaventura Failla, Lisa Suzuki, Marcelo Valente, Vinicius de Araújo Gomes, Luiz Antônio Ribeiro da Rosa, Mark Stephen Pearce, Lene Holanda Sadler Veiga
Format: Article
Language:English
Published: Brazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR) 2020-03-01
Series:Brazilian Journal of Radiation Sciences
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Online Access:https://bjrs.org.br/revista/index.php/REVISTA/article/view/1113
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author Ana Cristina Murta Dovales
Tainá Olivieri Chaves
Paulo Roberto Valle Bahia
Marcela Brisighelli Schaefer
Bruna Bonaventura Failla
Lisa Suzuki
Marcelo Valente
Vinicius de Araújo Gomes
Luiz Antônio Ribeiro da Rosa
Mark Stephen Pearce
Lene Holanda Sadler Veiga
author_facet Ana Cristina Murta Dovales
Tainá Olivieri Chaves
Paulo Roberto Valle Bahia
Marcela Brisighelli Schaefer
Bruna Bonaventura Failla
Lisa Suzuki
Marcelo Valente
Vinicius de Araújo Gomes
Luiz Antônio Ribeiro da Rosa
Mark Stephen Pearce
Lene Holanda Sadler Veiga
author_sort Ana Cristina Murta Dovales
collection DOAJ
description ABSTRACT   Computed tomography (CT) is an indispensable imaging technique, but radiation exposure from CT scans is of concern mainly due to the potential risk of developing cancer, mainly in children. Our group recently showed that CT use has greatly increased among outpatients using the Brazilian public health system (SUS) between 2001 and 2011. Further, CT examinations among patients younger than 20 years of age represented around 13.4% of all CT examinations in SUS between 2008 and 2011. In comparison, these examinations represented around 8% of the overall number of CT scans in a private hospital in Rio de Janeiro between 2005 and 2015, In this paper we extended the evaluation of pediatric and young adult CT use in Brazil to 25 private CT services in 8 Brazilian cities for the period 2008-2014. Data from SUS was updated to this period. Information about CT use in SUS was obtained from an online database. Data on the privately funded setting was retrieved from the Radiological Information Systems (RIS) of each CT service. Patients younger than 20 years of age underwent around 8.9% of the CT procedures in the private setting, while in SUS this proportion was around 12.7% in the same period. Pediatric and young adult CT greatly increased in both healthcare systems, but annual growth rates were less pronounced in the private than in the public healthcare system. One third of the patients in the private setting had more than one CT examination over the period investigated.
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institution Kabale University
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language English
publishDate 2020-03-01
publisher Brazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR)
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spelling doaj-art-876b83fc0e8b4fc985ab763acb0a9c3e2025-08-20T03:50:50ZengBrazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR)Brazilian Journal of Radiation Sciences2319-06122020-03-018110.15392/bjrs.v8i1.1113865Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014Ana Cristina Murta Dovales0Tainá Olivieri Chaves1Paulo Roberto Valle Bahia2Marcela Brisighelli Schaefer3Bruna Bonaventura Failla4Lisa Suzuki5Marcelo Valente6Vinicius de Araújo Gomes7Luiz Antônio Ribeiro da Rosa8Mark Stephen Pearce9Lene Holanda Sadler Veiga10Instituto de Radioproteção e Dosimetria - Comissão Nacional de Energia Nuclear, 22783-127, Rio de Janeiro, RJ, BrazilRede D’Or São Luiz, 20941-150, São Cristovão, Rio de Janeiro, RJ, BrazilCentro Estadual de Diagnóstico por Imagem, 20210-030, Rio de Janeiro, RJ, BrazilSonitec Diagnóstico Médico por Imagem, 88015-340, Florianópolis, SC, BrazilHospital Israelita Albert Einstein, 05652-900, São Paulo, SP, BrazilHospital Israelita Albert Einstein, 05652-900, São Paulo, SP, BrazilDepartamento de Pediatria, Faculdade de Medicina, Universidade de São Paulo, 05403-900, São Paulo, SP, BrazilHospital da Criança de Brasília José de Alencar, 70071-900, Brasília, DF, BrazilInstituto de Radioproteção e Dosimetria - Comissão Nacional de Energia Nuclear, 22783-127, Rio de Janeiro, RJ, BrazilInstitute of Health & Society, Newcastle University, NE1 4L, Newcastle upon Tyne, UKNational Cancer Institute. Division of Cancer Epidemiology & Genetics, Radiation Epidemiology Branch, 20892, Bethesda, Maryland, USAABSTRACT   Computed tomography (CT) is an indispensable imaging technique, but radiation exposure from CT scans is of concern mainly due to the potential risk of developing cancer, mainly in children. Our group recently showed that CT use has greatly increased among outpatients using the Brazilian public health system (SUS) between 2001 and 2011. Further, CT examinations among patients younger than 20 years of age represented around 13.4% of all CT examinations in SUS between 2008 and 2011. In comparison, these examinations represented around 8% of the overall number of CT scans in a private hospital in Rio de Janeiro between 2005 and 2015, In this paper we extended the evaluation of pediatric and young adult CT use in Brazil to 25 private CT services in 8 Brazilian cities for the period 2008-2014. Data from SUS was updated to this period. Information about CT use in SUS was obtained from an online database. Data on the privately funded setting was retrieved from the Radiological Information Systems (RIS) of each CT service. Patients younger than 20 years of age underwent around 8.9% of the CT procedures in the private setting, while in SUS this proportion was around 12.7% in the same period. Pediatric and young adult CT greatly increased in both healthcare systems, but annual growth rates were less pronounced in the private than in the public healthcare system. One third of the patients in the private setting had more than one CT examination over the period investigated.https://bjrs.org.br/revista/index.php/REVISTA/article/view/1113computed tomographypediatricbrazilionizing radiationsus
spellingShingle Ana Cristina Murta Dovales
Tainá Olivieri Chaves
Paulo Roberto Valle Bahia
Marcela Brisighelli Schaefer
Bruna Bonaventura Failla
Lisa Suzuki
Marcelo Valente
Vinicius de Araújo Gomes
Luiz Antônio Ribeiro da Rosa
Mark Stephen Pearce
Lene Holanda Sadler Veiga
Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
Brazilian Journal of Radiation Sciences
computed tomography
pediatric
brazil
ionizing radiation
sus
title Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
title_full Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
title_fullStr Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
title_full_unstemmed Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
title_short Patterns and trends of pediatric and young adult computed tomography use in Brazil: 2008-2014
title_sort patterns and trends of pediatric and young adult computed tomography use in brazil 2008 2014
topic computed tomography
pediatric
brazil
ionizing radiation
sus
url https://bjrs.org.br/revista/index.php/REVISTA/article/view/1113
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