دورية أكاديمية
Computed Tomography Risk Disclosure in the Emergency Department: A Survey of Pediatric Emergency Medicine Fellowship Program Leaders
| العنوان: | Computed Tomography Risk Disclosure in the Emergency Department: A Survey of Pediatric Emergency Medicine Fellowship Program Leaders |
|---|---|
| المؤلفون: | Jennifer R. Marin, Karen E. Thomas, Angela M. Mills, Kathy Boutis |
| المصدر: | Western Journal of Emergency Medicine, Vol 19, Iss 4 (2018) |
| بيانات النشر: | eScholarship Publishing, University of California, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Medicine LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Introduction: Given the potential malignancy risks associated with computed tomography (CT), some physicians are increasingly advocating for risk disclosure to patients/families. Our goal was to evaluate the practices and attitudes of pediatric emergency medicine (PEM) fellowship program leaders’ regarding CT radiation-risk disclosure. Methods: We conducted a cross-sectional survey study of the United States and Canadian PEM fellowship directors and associate/assistant directors. We developed a web-based survey using a modified Dillman technique. Primary outcome was the proportion who “almost always” or “most of the time” discussed potential malignancy risks from CT prior to ordering this test. Results: Of 128 physicians who received the survey, 108 (86%) responded. Of those respondents, 73%, 95% confidence interval (CI) [64–81] reported “almost always” or “most of the time” discussing potential malignancy risks when ordering a CT for infants; proportions for toddlers, school-age children, and teenagers were 72% (95% CI [63–80]), 66% (95% CI [56–75]), and 58% (95% CI [48–67]), respectively (test for trend, p=0.008). Eighty percent reported being “extremely” or “very” comfortable discussing radiation risks. Factors of “high” or “very high” importance in disclosing risks included parent request for a CT not deemed clinically indicated for 94% of respondents, and parent-initiated queries about radiation risks for 79%. If risk disclosure became mandatory, 82% favored verbal discussion over written informed consent. Conclusion: PEM fellowship program leaders report frequently disclosing potential malignancy risks from CT, with the frequency varying inversely with patient age. Motivating factors for discussions included parental request for a CT deemed clinically unnecessary and parental inquiry about risks. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1936-9018 |
| العلاقة: | https://escholarship.org/uc/item/88s4k8kdTest; https://doaj.org/toc/1936-9018Test |
| DOI: | 10.5811/westjem.2018.4.36895 |
| الوصول الحر: | https://doaj.org/article/23c191e584e14128a37b8481db66ad36Test |
| رقم الانضمام: | edsdoj.23c191e584e14128a37b8481db66ad36 |
| قاعدة البيانات: | Directory of Open Access Journals |
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