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New Clinical Decision Instruments Can and Should Reduce Radiation Exposure


In this Perspective linked to Rodriguez and colleagues, Emmanuel Lagarde discusses the importance of decision instruments that can help physicians avoid subjecting patients to radiation exposure from unnecessary CT scans.


Vyšlo v časopise: New Clinical Decision Instruments Can and Should Reduce Radiation Exposure. PLoS Med 12(10): e32767. doi:10.1371/journal.pmed.1001884
Kategorie: Perspective
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1001884

Souhrn

In this Perspective linked to Rodriguez and colleagues, Emmanuel Lagarde discusses the importance of decision instruments that can help physicians avoid subjecting patients to radiation exposure from unnecessary CT scans.


Zdroje

1. Rodriguez RM, Langdorf MI, Nishijima D, Baumann BM, Hendey GW, Medak AJ, et al. Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT). PLoS Med. 2015; 12(10): e1001884.

2. Leuraud K, Richardson DB, Cardis E, Daniels RD, Gillies M, O'Hagan JA, et al. Ionising radiation and risk of death from leukaemia and lymphoma in radiation-monitored workers (INWORKS): an international cohort study. Lancet Haematol. 2015 Jun; 2:e276–81. doi: 10.1016/S2352-3026(15)00094-0

3. Korley FK, Pham JC, Kirsch TD. Use of advanced radiology during visits to US emergency departments for injury-related conditions, 1998–2007. JAMA. 2010 Oct 6;304(13):1465–71. doi: 10.1001/jama.2010.1408 20924012

4. Abbott A. Researchers pin down risks of low-dose radiation. Nature. 2015 Jul 2;523(7558):17–8. doi: 10.1038/523017a 26135428

5. Mettler FA Jr., Wiest PW, Locken JA, Kelsey CA. CT scanning: patterns of use and dose. J Radiol Prot. 2000 Dec;20(4):353–9. 11140709

6. Biberthaler P, Linsenmeier U, Pfeifer KJ, Kroetz M, Mussack T, Kanz KG, et al. Serum S-100B concentration provides additional information fot the indication of computed tomography in patients after minor head injury: a prospective multicenter study. Shock. 2006 May;25(5):446–53. 16680008

7. Zongo D, Ribereau-Gayon R, Masson F, Laborey M, Contrand B, Salmi LR, et al. S100-B protein as a screening tool for the early assessment of minor head injury. Ann Emerg Med. 2012 Mar;59(3):209–18. doi: 10.1016/j.annemergmed.2011.07.027 21944878

8. Wall BF, Haylock R, Jansen JTM, Hillier MC, Hart D, Shrimpton PC. Radiation risks from medical X-ray examinations as a function of the age and sex of the patient. HPA-CRCE-028. 66 pp. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/340147/HPA-CRCE-028_for_website.pdf

9. Carnell J, Fischer J, Nagdev A. Ultrasound detection of obstructive pyelonephritis due to urolithiasis in the ED. Am J Emerg Med. 2011 Sep;29(7):843 e1–3. doi: 10.1016/j.ajem.2010.07.006 20934827

10. Ashton-Cleary DT. Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting? Br J Anaesth. 2013 Aug;111(2):152–60. doi: 10.1093/bja/aet076 23585400

11. Bachur RG, Levy JA, Callahan MJ, Rangel SJ, Monuteaux MC. Effect of Reduction in the Use of Computed Tomography on Clinical Outcomes of Appendicitis. JAMA Pediatr. 2015 Aug 1;169(8):755–60. doi: 10.1001/jamapediatrics.2015.0479 26098076

12. Huckins DS, Simon HK, Copeland K, Spiro DM, Gogain J, Wandell M. A novel biomarker panel to rule out acute appendicitis in pediatric patients with abdominal pain. Am J Emerg Med. 2013 Sep;31(9):1368–75. doi: 10.1016/j.ajem.2013.06.016 23891596

13. Rodriguez RM, Henderson TM, Ritchie AM, Langdorf MI, Raja AS, Silverman E, et al. Patient preferences and acceptable risk for computed tomography in trauma. Injury. 2014 Sep;45(9):1345–9. doi: 10.1016/j.injury.2014.03.011 24742979

Štítky
Interné lekárstvo

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PLOS Medicine


2015 Číslo 10
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Autori: MUDr. Tomáš Ürge, PhD.

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