{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:34:33Z","timestamp":1789446873934,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Improved radiation safety practices are needed across hospitals performing percutaneous coronary intervention (PCI). This study was performed to assess the temporal trend in PCI radiation doses concurrent with the conduct of a statewide radiation safety initiative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A statewide initiative to reduce PCI radiation doses was conducted in Michigan between 2017 and 2021 and included focused radiation safety education, reporting of institutional radiation doses, and implementation of radiation performance metrics for hospitals. Using data from a large statewide registry, PCI discharges between July 1, 2016, and July 1, 2022, having a procedural air kerma (AK) recorded were analyzed for temporal trends. A multivariable regression analysis was performed to determine whether declines in procedural AK over time were attributable to changes in known predictors of radiation doses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Among 131\u2005619 PCI procedures performed during the study period, a reduction in procedural AK was observed over time, from a median dose of 1.46 (0.86\u20132.37) Gy in the first year of the study to 0.97 (0.56\u20131.64) Gy in the last year of the study (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). The proportion of cases with an AK \u22655 Gy declined from 4.24% to 0.86% over the same time period (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001). After adjusting for variables known to impact radiation doses, a 1-year increase in the date of PCI was associated with a 7.61% (95% CI, 7.38%\u20137.84%) reduction in procedural AK (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Concurrent with the conduct of a statewide initiative to reduce procedural radiation doses, a progressive and significant decline in procedural radiation doses was observed among patients undergoing PCI in the state of Michigan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circinterventions.123.013502","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T05:00:31Z","timestamp":1707800431000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Statewide Initiative to Reduce Patient Radiation Doses During Percutaneous Coronary Intervention"],"prefix":"10.1161","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3751-2910","authenticated-orcid":true,"given":"Ryan D.","family":"Madder","sequence":"first","affiliation":[{"name":"Frederik Meijer Heart and Vascular Institute, Division of Cardiovascular Medicine, Corewell Health West, Grand Rapids, MI (R.D.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Seth","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (M.S., K.F., D.S., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4729-9807","authenticated-orcid":true,"given":"Kathleen","family":"Frazier","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (M.S., K.F., D.S., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1401-2451","authenticated-orcid":true,"given":"Simon","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI (S.D.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milind","family":"Karve","sequence":"additional","affiliation":[{"name":"Sparrow Hospital, Lansing, MI (M.K.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Collins","sequence":"additional","affiliation":[{"name":"Ascension St. Mary\u2019s Hospital, Saginaw, MI (J.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald V.","family":"Miller","sequence":"additional","affiliation":[{"name":"Ascension Providence Southfield, MI (R.V.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5373-4979","authenticated-orcid":true,"given":"Elizabeth","family":"Pielsticker","sequence":"additional","affiliation":[{"name":"Henry Ford Jackson Hospital, MI (E.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4539-8262","authenticated-orcid":true,"given":"Manoj","family":"Sharma","sequence":"additional","affiliation":[{"name":"Covenant HealthCare, Saginaw, MI (M.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4709-3390","authenticated-orcid":true,"given":"Devraj","family":"Sukul","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (M.S., K.F., D.S., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitinder S.","family":"Gurm","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (M.S., K.F., D.S., H.S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.02.017"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.118.006823"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.02.018"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.11.032"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31823ba622"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.541995"},{"key":"e_1_3_3_8_2","unstructured":"Purohit E Madder RD Daher E Gurm H Sukul D Tucciarone M Valle J Zaitoun A. 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Accessed September 27 2023. https:\/\/bmc2.org\/sites\/default\/files\/2021-05\/BMC2%20Best%20Practice%20Protocol%20Radiation%20Safety.pdf"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.05.003"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.114.001499"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000259.pub3"}],"container-title":["Circulation: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCINTERVENTIONS.123.013502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T17:09:22Z","timestamp":1748538562000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCINTERVENTIONS.123.013502"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1161\/CIRCINTERVENTIONS.123.013502"],"URL":"https:\/\/doi.org\/10.1161\/circinterventions.123.013502","relation":{},"ISSN":["1941-7640","1941-7632"],"issn-type":[{"value":"1941-7640","type":"print"},{"value":"1941-7632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]},"assertion":[{"value":"2023-08-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}