A follow‐up questionnaire survey 2022 on radiation protection among 464 medical staff from 34 endoscopy–fluoroscopy departments in Japan

Author:

Hayashi Shiro12ORCID,Takenaka Mamoru3ORCID,Kogure Hirofumi4,Yakushijin Takayuki5,Nakai Yousuke67ORCID,Ikezawa Kenji8ORCID,Yamaguchi Shinjiro9,Fujisawa Toshio10,Tamaru Yuzuru11,Maetani Iruru12ORCID,Maruyama Hirotsugu13ORCID,Asai Satoshi14,Takagi Tadayuki15,Nagaike Koji16,Hori Yasuki17,Sumiyoshi Tetsuya18ORCID,Tsumura Hidetaka19,Doyama Hisashi20,Yoshio Toshiyuki21ORCID,Hara Kazuo22,Abe Seiichiro23ORCID,Oda Ichiro24,Kato Motohiko25ORCID,Nebiki Hiroko26,Mikami Tatsuya27,Miyazaki Masanori28,Matsunaga Kazuhiro29,Hosono Makoto30,Nishida Tsutomu2ORCID,

Affiliation:

1. Department of Gastroenterology and Internal Medicine Hayashi Clinic Osaka Japan

2. Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan

3. Department of Gastroenterology and Hepatology Kindai University Faculty of Medicine Osaka Japan

4. Division of Gastroenterology and Hepatology Department of Medicine Nihon University School of Medicine Tokyo Japan

5. Department of Gastroenterology and Hepatology Osaka General Medical Center Osaka Japan

6. Department of Gastroenterology Graduate School of Medicine The University of Tokyo Tokyo Japan

7. Department of Endoscopy and Endoscopic Surgery The University of Tokyo Hospital Tokyo Japan

8. Department of Hepatobiliary and Pancreatic Oncology Osaka International Cancer Institute Osaka Japan

9. Department of Gastroenterology and Hepatology Kansai Rosai Hospital Hyogo Japan

10. Department of Gastroenterology Juntendo University, Hongo Campus Tokyo Japan

11. Department of Gastroenterology National Hospital Organization Kure Medical Center and Chugoku Cancer Center Hiroshima Japan

12. Division of Gastroenterology and Hepatology Department of Internal Medicine Toho University Ohashi Medical Center Tokyo Japan

13. Department of Gastroenterology Osaka Metropolitan University Osaka Japan

14. Department of Gastroenterology Tane General Hospital Osaka Japan

15. Department of Gastroenterology Fukushima Medical University School of Medicine Fukushima Japan

16. Department of Gastroenterology and Hepatology Suita Municipal Hospital Osaka Japan

17. Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Aichi Japan

18. Department of Gastroenterology Tonan Hospital Hokkaido Japan

19. Department of Gastroenterological Oncology Hyogo Cancer Center Hyogo Japan

20. Department of Gastroenterology Ishikawa Prefectural Central Hospital Ishikawa Japan

21. Department of Gastroenterology Cancer Institute Hospital Tokyo Japan

22. Department of Gastroenterology Aichi Cancer Center Aichi Japan

23. Endoscopy Division National Cancer Center Hospital Tokyo Japan

24. Department of Internal Medicine Kawasaki Rinko General Hospital Kanagawa Japan

25. Department of Gastroenterology Keio University School of Medicine Graduate School of Medicine Tokyo Japan

26. Department of Gastroenterology Osaka City General Hospital Osaka Japan

27. Department of Gastroenterology Hirosaki University Aomori Japan

28. Department of Gastroenterology and Hepatology Osaka Police Hospital Osaka Japan

29. Department of Gastroenterological Endoscopy Kanazawa Medical University Ishikawa Japan

30. Department of Radiology Kindai University Faculty of Medicine Osaka Japan

Abstract

AbstractObjectivesWe surveyed and reported low protective equipment usage and insufficient knowledge among endoscopy‐fluoroscopy departments in Japan in 2020. Two years later, we conducted a follow‐up survey of doctors, nurses, and technologists in Japan.MethodsWe conducted a questionnaire survey on radiation protection from May to June 2022. The participants were medical staff, including doctors, nurses, and radiological and endoscopy technicians in endoscopy‐fluoroscopy departments. The questionnaire included 17 multiple‐choice questions divided into three parts: background, equipment, and knowledge.ResultsWe surveyed 464 subjects from 34 institutions. There were 267 doctors (58%), 153 nurses (33%), and 44 technologists (9%). The rate of wearing a lead apron was 98% in this study. The rates of wearing a thyroid collar, lead glasses, and radiation dosimeter were 27%, 35%, and 74%, respectively. The trend of the protective equipment rate was similar to that of our previous study; however, radiation dosimetry among doctors was still low at 58%. The percentage of subjects who knew the radiation exposure (REX) dose of each procedure was low at 18%. Seventy‐six percent of the subjects attended lectures on radiation protection, and 73% knew about the three principles of radiation protection; however, the concept of diagnostic reference levels was not well known (18%). Approximately 60% of the subjects knew about the exposure dose increasing cancer mortality (63%) and the 5‐year lens REX limit (56%).ConclusionsThere was some improvement in radiation protection equipment or education, but relatively little compared to the 2020 survey of endoscopy departments.

Publisher

Wiley

Subject

Organic Chemistry,Biochemistry

Reference21 articles.

1. Avoidance of radiation injuries from medical interventional procedures. ICRP publication 85;International Commission on Radiological Protection (ICRP);Ann ICRP,2000

2. Education and training in radiological protection for diagnostic and interventional procedures ICRP Publication 113;International Commission on Radiological Protection (ICRP);Ann ICRP,2009

3. World Gastroenterology Organisation.Radiation protection in the endoscopy suite.2009. [cited Sep 15 2022]; Available from:https://www.worldgastroenterology.org/guidelines/global‐guidelines/radiation‐protection‐in‐the‐endoscopy‐suite/radiation‐protection‐in‐the‐endoscopy‐suite‐english

4. Radiation protection in digestive endoscopy: European Society of Digestive Endoscopy (ESGE) Guideline

5. A survey of awareness of radiation dose among health professionals in Northern Ireland

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