What we know about intra‐operative radiation exposure and hazards to operating theatre staff: A systematic review

Sophia Gogos; Amy Touzell; Lori Beth Lerner

doi:10.1111/ans.17160

journal article Aug 25, 2021

What we know about intra‐operative radiation exposure and hazards to operating theatre staff: A systematic review

Sophia Gogos

Amy Touzell

Lori Beth Lerner

ANZ Journal of Surgery Vol. 92 No. 1-2 pp. 51-56 · Wiley

View at Publisher Save 10.1111/ans.17160

Abstract

AbstractBackgroundThe widespread adoption of minimally invasive surgery and increased use of intra‐operative fluoroscopy places surgeons and trainees at risk of cumulative occupational radiation exposure. Unfortunately, there is limited published data specific to surgeons on the potential health implications. This study aims to review current literature regarding the hazards of cumulative radiation exposure among operating theatre staff.MethodsA systematic review was conducted of four databases for studies reporting on cumulative intra‐operative radiation exposure for operating theatre staff and the hazards associated with prolonged and frequent use. References from relevant studies were screened for additional texts. English language studies, controlled trials and cross‐sectional studies were included. Abstracts and full‐text studies were assessed for relevance and eligibility independently by two authors using Covidence.ResultsSix studies were included, with cancer being the most commonly reported long‐term health hazard possibly associated with cumulative radiation exposure. A 1.85 fold greater prevalence of all cancers and 2.9 fold greater prevalence of breast cancer was reported amongst female orthopaedic surgeons compared to a sex‐ and age‐adjusted population, but the results were not replicated amongst other surgical specialties. Multiple limitations of quantifying health risks of intra‐operative radiation exposure were identified, including identifying a dose‐effect relationship and confounders such as nulliparity and maternal age.ConclusionThis article highlights the lack of robust evidence regarding the potential hazards of cumulative occupational intra‐operative radiation exposure. This study demonstrates the importance of developing standardised national radiation safety protocols for surgical colleges and subspecialties to minimise risks to operating theatre staff.

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Metrics

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Citations

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References

Details

Published: Aug 25, 2021
Vol/Issue: 92(1-2)
Pages: 51-56
License: View

Authors

S

Sophia Gogos

Department of Orthopaedic Surgery Alfred Health Melbourne Victoria Australia

A

Amy Touzell

Department of Orthopaedic Surgery Peninsula Health Frankston Victoria Australia

L

Lori Beth Lerner

Department of Urology VA Boston Healthcare System Boston Massachusetts USA

Cite This Article

Sophia Gogos, Amy Touzell, Lori Beth Lerner (2021). What we know about intra‐operative radiation exposure and hazards to operating theatre staff: A systematic review. ANZ Journal of Surgery, 92(1-2), 51-56. https://doi.org/10.1111/ans.17160

What we know about intra‐operative radiation exposure and hazards to operating theatre staff: A systematic review

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