RAD
Conditions
Keywords
Dosimeter, Radiation, Pain Medicine, Physician
Brief summary
The primary objective is to determine if there is a significant difference in radiation readings between dosimeters worn on the chest versus the hand of interventional pain management physicians and elucidate which dosimeter had higher readings. The secondary objective is to track incidences of physician glove breaches in both groups to assess if wearing hand dosimeters is associated with an increased risk of this event.
Interventions
DEVICEHand Dosimeters
Participants were assigned to wear hand dosimeters in addition to the standard chest dosimeter worn by all participants
DEVICEStandard Practice
Participants only wore standard chest dosimeters
Sponsors
Oregon Health and Science University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Participants were randomized to wear either chest dosimeters only or chest and hand dosimeters for the duration of the study in order to measure differences in radiation readings by each dosimeter location.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* Physicians actively performing fluoroscopy procedures at the Comprehensive Pain Center.
Exclusion criteria
* Those that do not want to participate in the quality improvement project.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiation Readings | 6 months | Dose equivalent in mREM for each dosimeter that is worn by the subject. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total Number of Glove Breach Events | 6 months | Number of intra-procedure glove breaches |
Countries
United States
Participant flow
Pre-assignment details
All enrolled participants were randomized. There were no participants excluded before assignment to groups.
Participants by arm
| Arm | Count |
|---|---|
| Chest and Hand Dosimeters Subjects will wear both chest and hand dosimeters during all radiation procedures performed at the Comprehensive Pain Center during the study period.
Hand Dosimeters: Participants were assigned to wear hand dosimeters in addition to the standard chest dosimeter worn by all participants | 5 |
| Chest Dosimeter Subjects will wear only a chest dosimeter during all radiation procedures performed at the Comprehensive Pain Center during the study period.
Standard Practice: Participants only wore standard chest dosimeters | 5 |
| Total | 10 |
Baseline characteristics
| Characteristic | Chest and Hand Dosimeters | Chest Dosimeter | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 5 Participants | 5 Participants | 10 Participants |
| Race and Ethnicity Not Collected | — | — | 0 Participants |
| Sex: Female, Male Female | 2 Participants | 1 Participants | 3 Participants |
| Sex: Female, Male Male | 3 Participants | 4 Participants | 7 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 5 | 0 / 5 |
| other Total, other adverse events | 0 / 5 | 0 / 5 |
| serious Total, serious adverse events | 0 / 5 | 0 / 5 |
Outcome results
Primary
Radiation Readings
Dose equivalent in mREM for each dosimeter that is worn by the subject.
Time frame: 6 months
Population: In the chest and hand dosimeter group, for each participant one chest and one hand dosimeter recording was analyzed. In the chest group, one chest dosimeter recordings was analyzed.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Chest and Hand Dosimeters | Radiation Readings | Chest Dosimeters | 122.8 mREM |
| Chest and Hand Dosimeters | Radiation Readings | Hand Dosimeters | 236.9 mREM |
| Chest Dosimeter | Radiation Readings | Chest Dosimeters | 158.8 mREM |
Secondary
Total Number of Glove Breach Events
Number of intra-procedure glove breaches
Time frame: 6 months
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Chest and Hand Dosimeters | Total Number of Glove Breach Events | 0 Number of Glove Breach Events |
| Chest Dosimeter | Total Number of Glove Breach Events | 0 Number of Glove Breach Events |