{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T09:38:22Z","timestamp":1782812302452,"version":"3.54.5"},"reference-count":23,"publisher":"Universa BV","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>The use of personal protective equipment (PPE) can significantly reduce staff exposure to harmful radiation and infection.\n\nFluoroscopic procedures in orthopaedic theatre can generate high levels of radiation and good adherence to PPE use is essential to reduce long term cancer risk, including thyroid cancer.\n\nTo assess baseline compliance with PPE, availability of PPE in theatre and carry out an intervention to promote greater use of PPE.\n\nThis was a closed-loop interventional study set in a level 1 trauma centre and an elective\/rehabilitation unit. Data were collected in 40 cases pre and post-intervention from 26th May-7th July 2017. All health care practitioners present at fluoroscopic screening were observed. PPE availability was audited daily. A questionnaire was used to assess surgical and nursing knowledge\/practices regarding radiation\/infection safety. An educational presentation was delivered to the groups at highest risk of exposure.\n\n39\/41 questionnaires were completed (29 surgeons, 10 nurses). 41% of respondents had taken a radiation training course or felt they had adequate training. There was a significant increase in the use of thyroid guards by surgeons 13\/115 (11.3%) pre-intervention to 54\/117 (46.2%) post-intervention (p&lt;0.001) and radiographers (p=0.019) post-intervention.\nLogistic regression showed an 89.7% increased likelihood of thyroid guard use post-intervention and a 12.7% increased chance of thyroid guard use for each extra guard available.\n\nA short educational, easily replicated session, significantly improved compliance with thyroid guards by orthopaedic surgeons.<\/jats:p>","DOI":"10.52628\/89.4.10174","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T01:16:43Z","timestamp":1704935803000},"page":"679-683","source":"Crossref","is-referenced-by-count":2,"title":["Decreasing exposure to thyroid radiation in an orthopaedic theatre setting: an educational intervention"],"prefix":"10.52628","volume":"89","author":[{"given":"C","family":"DUGGAN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"CHOPRA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"TAYLOR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2024,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Cheon BK, Kim CL, Kim KR, Kang MH, Lim JA, Woo NS, et al. Radiation safety: a focus on lead aprons and thyroid shields in interventional pain management. The Korean journal of pain. 2018;31(4):244-52.","DOI":"10.3344\/kjp.2018.31.4.244"},{"key":"ref1","unstructured":"Luntz M, Mozumder A, Tobias CA, Upton AC, Silverman J, Burton M. Radiation2021 [cited 2021 August]. Available from: https:\/\/www.britannica.com\/science\/radiation."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Nugent M, Carmody O, Dudeney S. Radiation safety knowledge and practices among Irish orthopaedic trainees. Irish Journal Of Medical Science. 2015;184(2):369-73.","DOI":"10.1007\/s11845-014-1121-4"},{"key":"ref3","unstructured":"Devalia KL, Guha A, Devadoss VG. The need to protect the thyroid gland during image intensifier use in orthopaedic procedures. Acta Orthopaedica Belgica. 2004;70(5):474-7."},{"key":"ref4","unstructured":"Devalia KL, Peter VK, Madanur MA, Braithwaite IJ. Exposure of the thyroid to radiation during routine orthopaedic procedures. Acta Orthopaedica Belgica. 2006;72(5):615-20"},{"key":"ref5","unstructured":"Cope MR, Shaw DL. The use and availability of thyroid shields in orthopaedic theatres: a telephone questionnaire of English hospitals. Annals Of The Royal College Of Surgeons Of England. 2002;84(3):193-5."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Jentzsch T, Pietsch CM, Stigler B, Ramseier LE, Seifert B, Werner CML. The compliance with and knowledge about radiation protection in operating room personnel: a cross- sectional study with a questionnaire. Archives of Orthopaedic & Trauma Surgery. 2015;135(9):1233-40.","DOI":"10.1007\/s00402-015-2257-z"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Rehani MM, Vano E, Persliden J. Radiological protection in fluoroscopically guided procedures performed outside the imaging department International Commission on Radiological Protection; 2011 18\/05\/2011.","DOI":"10.1016\/j.icrp.2012.03.001"},{"key":"ref8","unstructured":"Environmental Health & Safety Centre Radiation Safety Division. Radiation Safety and ALARA2016 16\/01\/2018 [cited 2018. Available from: http:\/\/www.neuroradiologija.com\/public\/documents\/ZastitaOdZracenja\/Alara 1.pdf."},{"key":"ref9","unstructured":"Munro L. Basics of Radiation Protection for Everyday Use. How to Achieve ALARA: Working Tips and Guidelines2004 13 October 2016. Available from: http:\/\/apps.who.int\/medicinedocs\/documents\/s15961e\/s15961e.pdf."},{"key":"ref10","unstructured":"Bahari S, Morris S, Broe D, Taylor C, Lenehan B, McElwain J. Radiation exposure of the hands and thyroid gland during percutaneous wiring of wrist and hand procedures. Acta Orthopaedica Belgica. 2006;72(2):194-8."},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Rashid MS, Aziz S, Haydar S, Fleming SS, Datta A. Intra- operative fluoroscopic radiation exposure in orthopaedic trauma theatre. European Journal of Orthopaedic Surgery & Traumatology 2018;28(1):9-14.","DOI":"10.1007\/s00590-017-2020-y"},{"key":"ref12","unstructured":"Alani A, Modi C, Almedghio S, Mackie I. The risks of splash injury when using power tools during orthopaedic surgery: a prospective study. Acta Orthopaedica Belgica. 2008;74(5):678-82."},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Singh BI, Nurein H, Sinha S, Singh S, Housden P. Risk of conjunctival contamination in total joint arthroplasty. Journal of Hospital Infection. 2006;63(3):275-80.","DOI":"10.1016\/j.jhin.2006.01.037"},{"key":"ref14","unstructured":"Slevin B, Boyle L. HSE West Mid-Western Regional Hospitals, Standard Precautions Guideline, MGIP&C. Available from: http:\/\/www.hse.ie\/eng\/services\/list\/3\/acutehospitals\/hospitals\/ulh\/ipc\/pdfs\/1StandardPrecautions.pdf."},{"key":"ref15","unstructured":"Kirby R. Operating Theatre Etiquette2014 [cited 2017 31st December]. Available from: http:\/\/www.uhnm.nhs.uk\/SchoolOfMedicine\/Documents\/Operating Theatre Etiquette Poster Sep 14.pdf."},{"key":"ref16","unstructured":"Health and Safety Executive. Advisory Committee on Dangerous Pathogens Protection against blood-borne infections in the workplace: HIV and Hepatitis, 2017 31-12-2017 [cited 2017 31st December]. Available from: http:\/\/www.hse.gov.uk\/biosafety\/diseases\/bbv.pdf."},{"key":"ref17","unstructured":"Centre for Disease Control. Guidance for the selection and use of personal protective equipment (PPE) in healthcare settings2016 31\/12\/2017. Available from: https:\/\/www.cdc.gov\/hai\/pdfs\/ppe\/PPEslides6-29-04.pdf."},{"key":"ref18","unstructured":"OpenOregon Educational Resources. Inverse Square Law 2021. Available from: https:\/\/openoregon.pressbooks.pub\/radsafety130\/chapter\/inverse-square-law\/."},{"key":"ref19","unstructured":"Panchbhavi VK. C-arm positioning: Medscape; 2014 [Available from: https:\/\/emedicine.medscape.com\/article\/1890603-technique - c2."},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Jones DG, Stoddart J. Radiation use in the orthopaedic theatre: a prospective audit. The Australian and New Zealand Journal of Surgery. 1998;68(11):782-4.","DOI":"10.1111\/j.1445-2197.1998.tb04676.x"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Dewey P, Incoll I. Evaluation of thyroid shields for reduction of radiation exposure to orthopaedic surgeons. The Australian and New Zealand Journal of Surgery. 1998;68(9):635-6.","DOI":"10.1111\/j.1445-2197.1998.tb04832.x"},{"key":"ref22","unstructured":"Chow R, Beaupre LA, Rudnisky CJ, Otto D, Clark M. Surgeons\u2019 perception of fluoroscopic radiation hazards to vision. American Journal Of Orthopedics (Belle Mead, NJ). 2013;42(11):505-10."}],"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T01:16:56Z","timestamp":1704935816000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.actaorthopaedica.be\/archive\/volume-89\/issue-4\/original-studies\/decreasing-exposure-to-thyroid-radiation-in-an-orthopaedic-theatre-setting-an-educational-interven\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":23,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,1]]},"published-print":{"date-parts":[[2023,12]]}},"URL":"https:\/\/doi.org\/10.52628\/89.4.10174","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}