Radiation Safety Knowledge and Practices: Is the Indian Orthopaedic Community Well-informed?
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ORIGINAL ARTICLE
Radiation Safety Knowledge and Practices: Is the Indian Orthopaedic Community Well‑informed? Ashish S. Ranade1 · Gauri A. Oka2 · Anurag Daxini3 · Gaurav Ardawatia4 · Debkumar Majumder4 · Shivashankar Bhaskaran5 Received: 8 May 2020 / Accepted: 23 July 2020 / Published online: 31 July 2020 © Indian Orthopaedics Association 2020
Abstract Background In spite of frequent exposure to radiation, orthopaedic surgeons lack knowledge about radiation safety and do not comply with safety practices. We surveyed orthopaedic trainees and consultants in India to determine their knowledge and practices regarding radiation safety. Methods A questionnaire with 16 multiple choice questions was sent out using Google forms. We included practicing orthopaedic surgeons (consultants), fellows and trainees pursuing DNB, MS and D. Ortho courses across India. Results We received 439/700 responses (62.7% response rate) from 233 (53.1%) consultants and 206 (46.9%) trainees. Only 71 (16.2%) were aware of the ALARA (As Low As Reasonably Achievable) principle. While lead aprons were always used by 379 (86.3%), thyroid shields were never used by 302 (68.8%) respondents. Knowledge about the ALARA principle was significantly associated with radiation safety practices. A significantly greater proportion of participants who were aware about the ALARA principle always used lead aprons (OR 1.15; 95% CI 1.0 to 1.2, p = 0.001) and thyroid shields (OR 2.00; 95% CI 1.0 to 3.7, p = 0.029) and had their dosimeters checked within the last 1 year (OR 1.69; 95% CI 1.0 to 2.8, p = 0.039) when compared to those who were not aware of the ALARA principle. Almost 99% respondents expressed interest in participating in a radiation safety training program. Conclusion A majority of the respondents were keen to obtain training in radiation safety. We believe that professional organizations and hospitals could initiate training programs for the orthopaedic community in India to improve their radiation safety knowledge and practices. Keywords Radiation knowledge · Orthopaedic surgeons · Orthopaedic trainees · Radiation · Safety
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s43465-020-00212-5) contains supplementary material, which is available to authorized users. * Ashish S. Ranade [email protected] 1
Blooming Buds Centre for Pediatric Orthopaedics, Deenanath, Mangeshkar Hospital and Research Center, Erandwane, Pune 411004, India
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Department of Research, Deenanath Mangeshkar Hospital and Research Center, Erandwane, Pune 411004, India
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Department of Orthopaedics Government Medical College, Nagpur 440003, India
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Department of Orthopaedics, Deenanath Mangeshkar Hospital and Research Center, Erandwane, Pune 411004, India
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Department of Orthopaedics, Iyer Orthopaedic Centre, Solapur 413001, India
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Introduction Imaging forms an integral part of orthopaedic practice. It involves using the C-arm in the operation theatre and obtaining X-rays in the outpa
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