Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis
Objective: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy. Methods: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis membe...
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Elsevier
2025-01-01
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| Series: | Asian Journal of Urology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388224000158 |
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| author | Otaš Durutovic Guohua Zeng Bhaskar Somani Simon Choong Giorgio Mazzon Di Gu Zeeshan Hameed TP Rajeev Bogomir Milojevic Davide Brusa Tiago Ribeiro Oliveira Sergio Pereira Nariman Gadzhiev Ali Serdar Gozen Evangelos Liatsikos Panagiotis Kallidonis Uros Bumbasirevic Andreas Skolarikos |
| author_facet | Otaš Durutovic Guohua Zeng Bhaskar Somani Simon Choong Giorgio Mazzon Di Gu Zeeshan Hameed TP Rajeev Bogomir Milojevic Davide Brusa Tiago Ribeiro Oliveira Sergio Pereira Nariman Gadzhiev Ali Serdar Gozen Evangelos Liatsikos Panagiotis Kallidonis Uros Bumbasirevic Andreas Skolarikos |
| author_sort | Otaš Durutovic |
| collection | DOAJ |
| description | Objective: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy. Methods: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection. Results: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, p=0.008). Precautions to reduce exposure appeared poorly followed as up to 25.4% of respondents used regularly continuous fluoroscopy, and up to 20.5% used regularly high-frequency setting and this trend was more obvious among senior specialists (6.2% of trainees used high-frequency settings vs. 21.3% of consultants, p<0.05). Additionally, only 24.9% of respondents would provide X-ray protection to patients too. Conclusion: Although high and routinary utilization of X-rays, the level of awareness and adhesion to “as low as reasonably achievable” principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues. |
| format | Article |
| id | doaj-art-dee6f62f93e64b48ae8da61353875077 |
| institution | Kabale University |
| issn | 2214-3882 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-dee6f62f93e64b48ae8da613538750772025-01-30T05:14:15ZengElsevierAsian Journal of Urology2214-38822025-01-011215158Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of UrolithiasisOtaš Durutovic0Guohua Zeng1Bhaskar Somani2Simon Choong3Giorgio Mazzon4Di Gu5Zeeshan Hameed6TP Rajeev7Bogomir Milojevic8Davide Brusa9Tiago Ribeiro Oliveira10Sergio Pereira11Nariman Gadzhiev12Ali Serdar Gozen13Evangelos Liatsikos14Panagiotis Kallidonis15Uros Bumbasirevic16Andreas Skolarikos17Clinic of Urology, University Clinical Centre of Serbia, Belgrade, SerbiaDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China; Guangdong Key Laboratory of Urology, Guangzhou Institute of Urology, Guangzhou, ChinaDepartment of Urology, University Hospital Southampton NHS Trust, Southampton, UKThe Institute of Urology, University College London Hospitals, London, UKDepartment of Urology, AULSS7 Pedemontana, Bassano Del Grappa, Italy; Corresponding author.Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaFather Muller Medical College, Manglore, IndiaMedicty Superspeciality Hospital, Guwahati, IndiaClinic of Urology, University Clinical Centre of Serbia, Belgrade, SerbiaDepartment of Urology, Azienda Ospedaliera Universitaria Integrata Verona, University of Verona, Verona, ItalyDepartment of Urology, Lisbon North University Hospitals, Lisbon, Portugal; Department of Urology, Armed Forces Hospital, Lisbon, PortugalDepartment of Urology, Lisbon North University Hospitals, Lisbon, PortugalDepartment of Urology, Saint Petersburg State University Hospital, Saint Petersburg, RussiaDepartment of Urology, SLK Kliniken, Heilbronn, Baden-Wuttemberg, GermanyDepartment of Urology, University of Patras, Patras, GreeceNational and Kapodistrian University of Athens, Athens, GreeceClinic of Urology, University Clinical Centre of Serbia, Belgrade, SerbiaNational and Kapodistrian University of Athens, Athens, GreeceObjective: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy. Methods: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection. Results: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, p=0.008). Precautions to reduce exposure appeared poorly followed as up to 25.4% of respondents used regularly continuous fluoroscopy, and up to 20.5% used regularly high-frequency setting and this trend was more obvious among senior specialists (6.2% of trainees used high-frequency settings vs. 21.3% of consultants, p<0.05). Additionally, only 24.9% of respondents would provide X-ray protection to patients too. Conclusion: Although high and routinary utilization of X-rays, the level of awareness and adhesion to “as low as reasonably achievable” principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues.http://www.sciencedirect.com/science/article/pii/S2214388224000158Percutaneous nephrolithotomy“As low as reasonably achievable”FluoroscopyRenal stone |
| spellingShingle | Otaš Durutovic Guohua Zeng Bhaskar Somani Simon Choong Giorgio Mazzon Di Gu Zeeshan Hameed TP Rajeev Bogomir Milojevic Davide Brusa Tiago Ribeiro Oliveira Sergio Pereira Nariman Gadzhiev Ali Serdar Gozen Evangelos Liatsikos Panagiotis Kallidonis Uros Bumbasirevic Andreas Skolarikos Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis Asian Journal of Urology Percutaneous nephrolithotomy “As low as reasonably achievable” Fluoroscopy Renal stone |
| title | Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis |
| title_full | Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis |
| title_fullStr | Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis |
| title_full_unstemmed | Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis |
| title_short | Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy—should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis |
| title_sort | worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy should we do better a survey by the european association of urology section for uro technology and the international alliance of urolithiasis |
| topic | Percutaneous nephrolithotomy “As low as reasonably achievable” Fluoroscopy Renal stone |
| url | http://www.sciencedirect.com/science/article/pii/S2214388224000158 |
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