Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study
Por:
de Basea, MB, Salotti, JA, Pearce, MS, Muchart, J, Riera, L, Barber, I, Pedraza, S, Pardina, M, Capdevila, A, Espinosa, A, Cardis, E
Publicada:
1 ene 2016
Resumen:
Although there are undeniable diagnostic benefits of CT scanning, its increasing use in paediatric radiology has become a topic of concern regarding patient radioprotection.
To assess the rate of CT scanning in Catalonia, Spain, among patients younger than 21 years old at the scan time.
This is a sub-study of a larger international cohort study (EPI-CT, the International pediatric CT scan study). Data were retrieved from the radiological information systems (RIS) of eight hospitals in Catalonia since the implementation of digital registration (between 1991 and 2010) until 2013.
The absolute number of CT scans annually increased 4.5% between 1991 and 2013, which was less accentuated when RIS was implemented in most hospitals. Because the population attending the hospitals also increased, however, the rate of scanned patients changed little (8.3 to 9.4 per 1,000 population). The proportions of patients with more than one CT and more than three CTs showed a 1.51- and 2.7-fold increase, respectively, over the 23 years.
Gradual increases in numbers of examinations and scanned patients were observed in Catalonia, potentially explained by new CT scanning indications and increases in the availability of scanners, the number of scans per patient and the size of the attended population.
Filiaciones:
de Basea, MB:
Ctr Res Environm Epidemiol CREAL, Dr Aiguader 88, Barcelona 08003, Spain
UPF, Barcelona, Spain
CIBERESP, Barcelona, Spain
Salotti, JA:
Newcastle Univ, Inst Hlth & Soc, Sir James Spence Inst Child Hlth, Royal Victoria Infirm, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
Pearce, MS:
Newcastle Univ, Inst Hlth & Soc, Sir James Spence Inst Child Hlth, Royal Victoria Infirm, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
Muchart, J:
Hosp St Joan de Deu Barcelona, Barcelona, Spain
Riera, L:
Corp Sanitaria Parc Tauli, Sabadell, Spain
Barber, I:
Hosp Univ Vall Hebron, Barcelona, Spain
Pedraza, S:
Hosp Univ Girona Doctor Josep Trueta, IDI, Girona, Spain
Inst Invest Biomed Girona Dr Josep Trueta IDIBGI, Girona, Spain
Univ Girona, Girona, Spain
Pardina, M:
Hosp Arnau Vilanova, Lleida, Spain
Capdevila, A:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Espinosa, A:
Ctr Res Environm Epidemiol CREAL, Dr Aiguader 88, Barcelona 08003, Spain
UPF, Barcelona, Spain
CIBERESP, Barcelona, Spain
Hosp del Mar Med Res Inst IMIM, Barcelona, Spain
Cardis, E:
Ctr Res Environm Epidemiol CREAL, Dr Aiguader 88, Barcelona 08003, Spain
UPF, Barcelona, Spain
CIBERESP, Barcelona, Spain
Green Published, Hybrid Gold
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