Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective
Purpose Surgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences....
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| Veröffentlicht in: | Child's nervous system 2021-02, Vol.37 (2), p.491-497 |
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| creator | Armao, Diane Hartman, Terry S. Katz, Laurence Shea, Christopher M. Koschnitzky, Jenna Yang, Richard Smith, J. Keith Quinsey, Carolyn |
| description | Purpose
Surgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences.
Methods
We conducted a pediatric CT radiation safety and diagnostic imaging educational workshop for patients and caregivers at a national conference on hydrocephalus to characterize current practice and desired communication about CT imaging. Our workshop consisted of an interactive educational intervention with pre-/post-session surveys followed by feedback from participants.
Results
Our session included 34 participants (100% response rate for surveys) with 28 being parents of individuals with hydrocephalus. A total of 76% (
n
= 26) participants showed an increase in knowledge after the session (
p
100 CT scans for shunt evaluation with the median being 25 scans (IQR 20).
Conclusions
Caregivers desire and deserve to be empowered through education and social support, and continuously engaged through sharing decisions and co-designing care plans. The neurosurgical community is in an ideal position to collaborate with radiologists, primary care providers, and parents in the development and testing of credible, high-quality online and social media resources. |
| doi_str_mv | 10.1007/s00381-020-04822-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2427293469</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2427293469</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-e9267554a80124fe316245bf86032b19247739ae90f062019d645134f4c3e5ce3</originalsourceid><addsrcrecordid>eNp9kc1O3TAQha0KVG6hL9AF8pJN2vHY-WOHUP8kpEoVrC1fZ5JrlOsE26G6j9E3riHAsquR5nznSDOHsU8CPguA-ksEkI0oAKEA1SAW8I5thJKyAFnCEdsAllVRg4IT9iHGewBRNti-ZycSa5FF3LC_v03nTHKT59H0lA6cusWuC-M7nsXBTzE5y93eDM4P3Hk-05Mp5OWcUfIp8j8u7XhcwuCsGccDT4FMoo7vDl2YLM07My7xkqcdvXqe83uzd5meKcSZbHKPdMaOezNG-vgyT9ndt6-31z-Km1_ff15f3RRWqjoV1GJVl6UyDQhUPUlRoSq3fVOBxK1oUdW1bA210EOFINquUqWQqldWUmlJnrKLNXcO08NCMem9i5bG0XialqhRYY2tVFWbUVxRG6YYA_V6Dvkb4aAF6Kcq9FqFzlXo5yo0ZNP5S_6y3VP3Znn9fQbkCsQs-YGCvp-W4PPN_4v9B86wlk4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2427293469</pqid></control><display><type>article</type><title>Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective</title><source>SpringerLink Journals</source><creator>Armao, Diane ; Hartman, Terry S. ; Katz, Laurence ; Shea, Christopher M. ; Koschnitzky, Jenna ; Yang, Richard ; Smith, J. Keith ; Quinsey, Carolyn</creator><creatorcontrib>Armao, Diane ; Hartman, Terry S. ; Katz, Laurence ; Shea, Christopher M. ; Koschnitzky, Jenna ; Yang, Richard ; Smith, J. Keith ; Quinsey, Carolyn</creatorcontrib><description>Purpose
Surgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences.
Methods
We conducted a pediatric CT radiation safety and diagnostic imaging educational workshop for patients and caregivers at a national conference on hydrocephalus to characterize current practice and desired communication about CT imaging. Our workshop consisted of an interactive educational intervention with pre-/post-session surveys followed by feedback from participants.
Results
Our session included 34 participants (100% response rate for surveys) with 28 being parents of individuals with hydrocephalus. A total of 76% (
n
= 26) participants showed an increase in knowledge after the session (
p
< 0.01). All participants (
N
= 34) uniformly desired risk/benefit discussions before CT scans. However, 71% stated that they were not informed of risks/benefits of CT scans by a medical professional. Following the session, the number of participants indicating that informed consent should be obtained before CT scans increased from 30 to 33. Respondents also revealed that 14% of children and young adults had received > 100 CT scans for shunt evaluation with the median being 25 scans (IQR 20).
Conclusions
Caregivers desire and deserve to be empowered through education and social support, and continuously engaged through sharing decisions and co-designing care plans. The neurosurgical community is in an ideal position to collaborate with radiologists, primary care providers, and parents in the development and testing of credible, high-quality online and social media resources.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-020-04822-0</identifier><identifier>PMID: 32710252</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Article</subject><ispartof>Child's nervous system, 2021-02, Vol.37 (2), p.491-497</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-e9267554a80124fe316245bf86032b19247739ae90f062019d645134f4c3e5ce3</citedby><cites>FETCH-LOGICAL-c347t-e9267554a80124fe316245bf86032b19247739ae90f062019d645134f4c3e5ce3</cites><orcidid>0000-0002-5540-5422</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-020-04822-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-020-04822-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32710252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Armao, Diane</creatorcontrib><creatorcontrib>Hartman, Terry S.</creatorcontrib><creatorcontrib>Katz, Laurence</creatorcontrib><creatorcontrib>Shea, Christopher M.</creatorcontrib><creatorcontrib>Koschnitzky, Jenna</creatorcontrib><creatorcontrib>Yang, Richard</creatorcontrib><creatorcontrib>Smith, J. Keith</creatorcontrib><creatorcontrib>Quinsey, Carolyn</creatorcontrib><title>Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Purpose
Surgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences.
Methods
We conducted a pediatric CT radiation safety and diagnostic imaging educational workshop for patients and caregivers at a national conference on hydrocephalus to characterize current practice and desired communication about CT imaging. Our workshop consisted of an interactive educational intervention with pre-/post-session surveys followed by feedback from participants.
Results
Our session included 34 participants (100% response rate for surveys) with 28 being parents of individuals with hydrocephalus. A total of 76% (
n
= 26) participants showed an increase in knowledge after the session (
p
< 0.01). All participants (
N
= 34) uniformly desired risk/benefit discussions before CT scans. However, 71% stated that they were not informed of risks/benefits of CT scans by a medical professional. Following the session, the number of participants indicating that informed consent should be obtained before CT scans increased from 30 to 33. Respondents also revealed that 14% of children and young adults had received > 100 CT scans for shunt evaluation with the median being 25 scans (IQR 20).
Conclusions
Caregivers desire and deserve to be empowered through education and social support, and continuously engaged through sharing decisions and co-designing care plans. The neurosurgical community is in an ideal position to collaborate with radiologists, primary care providers, and parents in the development and testing of credible, high-quality online and social media resources.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc1O3TAQha0KVG6hL9AF8pJN2vHY-WOHUP8kpEoVrC1fZ5JrlOsE26G6j9E3riHAsquR5nznSDOHsU8CPguA-ksEkI0oAKEA1SAW8I5thJKyAFnCEdsAllVRg4IT9iHGewBRNti-ZycSa5FF3LC_v03nTHKT59H0lA6cusWuC-M7nsXBTzE5y93eDM4P3Hk-05Mp5OWcUfIp8j8u7XhcwuCsGccDT4FMoo7vDl2YLM07My7xkqcdvXqe83uzd5meKcSZbHKPdMaOezNG-vgyT9ndt6-31z-Km1_ff15f3RRWqjoV1GJVl6UyDQhUPUlRoSq3fVOBxK1oUdW1bA210EOFINquUqWQqldWUmlJnrKLNXcO08NCMem9i5bG0XialqhRYY2tVFWbUVxRG6YYA_V6Dvkb4aAF6Kcq9FqFzlXo5yo0ZNP5S_6y3VP3Znn9fQbkCsQs-YGCvp-W4PPN_4v9B86wlk4</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Armao, Diane</creator><creator>Hartman, Terry S.</creator><creator>Katz, Laurence</creator><creator>Shea, Christopher M.</creator><creator>Koschnitzky, Jenna</creator><creator>Yang, Richard</creator><creator>Smith, J. Keith</creator><creator>Quinsey, Carolyn</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5540-5422</orcidid></search><sort><creationdate>20210201</creationdate><title>Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective</title><author>Armao, Diane ; Hartman, Terry S. ; Katz, Laurence ; Shea, Christopher M. ; Koschnitzky, Jenna ; Yang, Richard ; Smith, J. Keith ; Quinsey, Carolyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-e9267554a80124fe316245bf86032b19247739ae90f062019d645134f4c3e5ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Armao, Diane</creatorcontrib><creatorcontrib>Hartman, Terry S.</creatorcontrib><creatorcontrib>Katz, Laurence</creatorcontrib><creatorcontrib>Shea, Christopher M.</creatorcontrib><creatorcontrib>Koschnitzky, Jenna</creatorcontrib><creatorcontrib>Yang, Richard</creatorcontrib><creatorcontrib>Smith, J. Keith</creatorcontrib><creatorcontrib>Quinsey, Carolyn</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Armao, Diane</au><au>Hartman, Terry S.</au><au>Katz, Laurence</au><au>Shea, Christopher M.</au><au>Koschnitzky, Jenna</au><au>Yang, Richard</au><au>Smith, J. Keith</au><au>Quinsey, Carolyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>37</volume><issue>2</issue><spage>491</spage><epage>497</epage><pages>491-497</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Purpose
Surgically treated hydrocephalus patients are frequently imaged with head computed tomography (CT), and risk/benefit communication with families is inconsistent and unknown. We aimed to educate patients and caregivers about radiation safety in CT and explore their communication preferences.
Methods
We conducted a pediatric CT radiation safety and diagnostic imaging educational workshop for patients and caregivers at a national conference on hydrocephalus to characterize current practice and desired communication about CT imaging. Our workshop consisted of an interactive educational intervention with pre-/post-session surveys followed by feedback from participants.
Results
Our session included 34 participants (100% response rate for surveys) with 28 being parents of individuals with hydrocephalus. A total of 76% (
n
= 26) participants showed an increase in knowledge after the session (
p
< 0.01). All participants (
N
= 34) uniformly desired risk/benefit discussions before CT scans. However, 71% stated that they were not informed of risks/benefits of CT scans by a medical professional. Following the session, the number of participants indicating that informed consent should be obtained before CT scans increased from 30 to 33. Respondents also revealed that 14% of children and young adults had received > 100 CT scans for shunt evaluation with the median being 25 scans (IQR 20).
Conclusions
Caregivers desire and deserve to be empowered through education and social support, and continuously engaged through sharing decisions and co-designing care plans. The neurosurgical community is in an ideal position to collaborate with radiologists, primary care providers, and parents in the development and testing of credible, high-quality online and social media resources.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32710252</pmid><doi>10.1007/s00381-020-04822-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5540-5422</orcidid></addata></record> |
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| subjects | Medicine Medicine & Public Health Neurosciences Neurosurgery Original Article |
| title | Radiation safety education and diagnostic imaging in pediatric patients with surgically treated hydrocephalus: the patient and family perspective |
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