Trends and patterns in the use of computed tomography in children and young adults in Catalonia - results from the EPI-CT study
Por:
Bosch de Basea M, Salotti JA, Pearce MS, Muchart-Lopez J, Riera L, Barber I, Pedraza S, Pardina M, Capdevila A, Espinosa A and Cardis E
Publicada:
1 ene 2016
Ahead of Print:
15 ago 2015
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:
Bosch de Basea M:
Centre for Research in Environmental Epidemiology (CREAL), Dr. Aiguader, 88, 08003, Barcelona, Spain.
Universitat Pompeu Fabra (UPF), Barcelona, Spain.
CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
Salotti JA:
Institute of Health & Society, Newcastle University, Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Pearce MS:
Institute of Health & Society, Newcastle University, Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Muchart-Lopez J:
Hospital Sant Joan de Déu Barcelona, Barcelona, Spain
Riera L:
Corporació Sanitària Parc Taulí, Sabadell, Spain
Barber I:
Hospital Universitari Vall d'Hebron, Barcelona, Spain
Pedraza S:
Institut de Diagnòstic per la Imatge (IDI), Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta (IDIBGI), Girona, Spain
Universitat de Girona, Girona, Spain
Pardina M:
Hospital Universitari Arnau de Vilanova, Lleida, Spain
Capdevila A:
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Espinosa A:
Centre for Research in Environmental Epidemiology (CREAL), Dr. Aiguader, 88, 08003, Barcelona, Spain
Universitat Pompeu Fabra (UPF), Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
Cardis E:
Centre for Research in Environmental Epidemiology (CREAL), Dr. Aiguader, 88, 08003, Barcelona, Spain
Universitat Pompeu Fabra (UPF), Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
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