Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study
Objectives Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs io...
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| Veröffentlicht in: | European radiology 2023-08, Vol.33 (8), p.5675-5684 |
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| creator | Baudin, Clémence Vacquier, Blandine Thin, Guillemette Chenene, Lamine Guersen, Joël Partarrieu, Isabelle Louet, Martine Ducou Le Pointe, Hubert Mora, Stéphanie Verdun-Esquer, Catherine Feuardent, Juliette Rousseau, Frédéric Roy, Hervé Bensefa-Colas, Lynda Boyer, Louis Bernier, Marie-Odile |
| description | Objectives
Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs ioniSants study aims to evaluate and characterize the trends in radiation exposure of health workers in France between 2009 and 2019.
Methods
This retrospective study includes all health workers with at least one dosimetric record in the system for occupational dosimetry registration (Système d’information de la surveillance de l’exposition aux rayonnements ionisants) database for each of the years 2009, 2014, and 2019, in the hospitals included in the study. Individual external doses and socio-professional data were collected. Statistical analyses include descriptions, graphs, and logistic regressions.
Results
A total of 1457 workers were included (mean age: 39.8 years, 59% women). The average exposure significantly decreased between 2009 and 2019 (−0.008 mSv/year,
p
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| doi_str_mv | 10.1007/s00330-023-09541-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10326158</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2833800822</sourcerecordid><originalsourceid>FETCH-LOGICAL-c576t-baed00298927e548ba55200093a41b98dd3fa339866c68cb25a224ebb8f311af3</originalsourceid><addsrcrecordid>eNp9kstu1TAQhiMEohd4ARbIEhuEFBjbudhsUFUBrXSkbmBtObbT4yonDr5U9Kx4B96QJ6lz0vuClS37-2f-0fxF8QbDRwzQfgoAlEIJhJbA6wqX22fFPq4oKTGw6vmD-15xEMIFAHBctS-LPdpwCqQh-8X2TKk0yWjdKAdkfk8uJG9QdCi_2K0dz5GX2u4AZEe0MdqqTIYo-_4zit6MOiCd_EzGtUEkN_n35y8BzNFkvHV6lkm0SUO0yozRW5XVSV-9Kl70cgjm9c15WPz89vXH8Um5Ovt-eny0KlXdNrHspNEAhDNOWlNXrJN1TeZRqKxwx5nWtJeUctY0qmGqI7UkpDJdx3qKsezpYfFlqTulLtvfeZCDmLzdSH8lnLTi8c9o1-LcXQoMlDS4ZrnCh6XC-onu5GglrA-jgAoYJby9xBl-f9POu1_JhCg2NigzDHI0LgVBWDbL25pXGX33BL1wyedFLBQDYIRkiiyU8i4Eb_o7CxjEHASxBEHkIIhdEMQ2i94-HPpOcrv5DNAFCNO8O-Pve_-n7DUeJL-u</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2833800822</pqid></control><display><type>article</type><title>Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study</title><source>Springer Nature - Complete Springer Journals</source><creator>Baudin, Clémence ; Vacquier, Blandine ; Thin, Guillemette ; Chenene, Lamine ; Guersen, Joël ; Partarrieu, Isabelle ; Louet, Martine ; Ducou Le Pointe, Hubert ; Mora, Stéphanie ; Verdun-Esquer, Catherine ; Feuardent, Juliette ; Rousseau, Frédéric ; Roy, Hervé ; Bensefa-Colas, Lynda ; Boyer, Louis ; Bernier, Marie-Odile</creator><creatorcontrib>Baudin, Clémence ; Vacquier, Blandine ; Thin, Guillemette ; Chenene, Lamine ; Guersen, Joël ; Partarrieu, Isabelle ; Louet, Martine ; Ducou Le Pointe, Hubert ; Mora, Stéphanie ; Verdun-Esquer, Catherine ; Feuardent, Juliette ; Rousseau, Frédéric ; Roy, Hervé ; Bensefa-Colas, Lynda ; Boyer, Louis ; Bernier, Marie-Odile</creatorcontrib><description>Objectives
Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs ioniSants study aims to evaluate and characterize the trends in radiation exposure of health workers in France between 2009 and 2019.
Methods
This retrospective study includes all health workers with at least one dosimetric record in the system for occupational dosimetry registration (Système d’information de la surveillance de l’exposition aux rayonnements ionisants) database for each of the years 2009, 2014, and 2019, in the hospitals included in the study. Individual external doses and socio-professional data were collected. Statistical analyses include descriptions, graphs, and logistic regressions.
Results
A total of 1457 workers were included (mean age: 39.8 years, 59% women). The average exposure significantly decreased between 2009 and 2019 (−0.008 mSv/year,
p
< 0.05). There were large discrepancies in trends according to professions, departments, hospitals, and gender. Over the 10-year study period, radiologic technologists and physicians were the most exposed (0.15 mSv (95%CI 0.14–0.16) and 0.13 mSv (0.06–0.21), respectively), but their exposure tended to decrease. Workers in nuclear medicine departments had the highest radiation exposure (0.36 mSv (0.33–0.39)), which remained stable over time. Thirty-eight percent of recorded doses were nonzero in 2009, decreasing to 20% in 2019.
Conclusions
This study allowed to identify physicians and radiologic technologists in nuclear medicine departments as the most exposed medical workers in France, and to show an overall decrease trend in radiation exposure. This should be instructive for radiation monitoring and safety of exposed medical workers.
Key Points
• Radiation exposure of healthcare workers in most medical departments has steadily decreased between 2009 and 2019 in several French hospitals.
• The number of zero doses consistently increased during the study period.
• Workers in nuclear medicine departments are the most exposed, especially radiologic technologists and physicians.</description><identifier>ISSN: 1432-1084</identifier><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-023-09541-z</identifier><identifier>PMID: 36930262</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Diagnostic Radiology ; Dosimeters ; Dosimetry ; Drug dosages ; Hospitals ; Humanities and Social Sciences ; Imaging ; Information systems ; Internal Medicine ; Interventional Radiology ; Ionizing radiation ; Medical personnel ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear medicine ; Nuclear safety ; Occupational exposure ; Occupational health ; Physicians ; Radiation ; Radiation effects ; Radiation measurement ; Radiological Education ; Radiology ; Statistical analysis ; Statistics ; Technologists ; Trends ; Ultrasound</subject><ispartof>European radiology, 2023-08, Vol.33 (8), p.5675-5684</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Attribution</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-baed00298927e548ba55200093a41b98dd3fa339866c68cb25a224ebb8f311af3</citedby><cites>FETCH-LOGICAL-c576t-baed00298927e548ba55200093a41b98dd3fa339866c68cb25a224ebb8f311af3</cites><orcidid>0000-0002-2240-1548 ; 0000-0001-5807-4596 ; 0000-0002-6667-8629</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/s00330-023-09541-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-023-09541-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27902,27903,41466,42535,51296</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36930262$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://irsn.hal.science/irsn-04083297$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Baudin, Clémence</creatorcontrib><creatorcontrib>Vacquier, Blandine</creatorcontrib><creatorcontrib>Thin, Guillemette</creatorcontrib><creatorcontrib>Chenene, Lamine</creatorcontrib><creatorcontrib>Guersen, Joël</creatorcontrib><creatorcontrib>Partarrieu, Isabelle</creatorcontrib><creatorcontrib>Louet, Martine</creatorcontrib><creatorcontrib>Ducou Le Pointe, Hubert</creatorcontrib><creatorcontrib>Mora, Stéphanie</creatorcontrib><creatorcontrib>Verdun-Esquer, Catherine</creatorcontrib><creatorcontrib>Feuardent, Juliette</creatorcontrib><creatorcontrib>Rousseau, Frédéric</creatorcontrib><creatorcontrib>Roy, Hervé</creatorcontrib><creatorcontrib>Bensefa-Colas, Lynda</creatorcontrib><creatorcontrib>Boyer, Louis</creatorcontrib><creatorcontrib>Bernier, Marie-Odile</creatorcontrib><title>Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs ioniSants study aims to evaluate and characterize the trends in radiation exposure of health workers in France between 2009 and 2019.
Methods
This retrospective study includes all health workers with at least one dosimetric record in the system for occupational dosimetry registration (Système d’information de la surveillance de l’exposition aux rayonnements ionisants) database for each of the years 2009, 2014, and 2019, in the hospitals included in the study. Individual external doses and socio-professional data were collected. Statistical analyses include descriptions, graphs, and logistic regressions.
Results
A total of 1457 workers were included (mean age: 39.8 years, 59% women). The average exposure significantly decreased between 2009 and 2019 (−0.008 mSv/year,
p
< 0.05). There were large discrepancies in trends according to professions, departments, hospitals, and gender. Over the 10-year study period, radiologic technologists and physicians were the most exposed (0.15 mSv (95%CI 0.14–0.16) and 0.13 mSv (0.06–0.21), respectively), but their exposure tended to decrease. Workers in nuclear medicine departments had the highest radiation exposure (0.36 mSv (0.33–0.39)), which remained stable over time. Thirty-eight percent of recorded doses were nonzero in 2009, decreasing to 20% in 2019.
Conclusions
This study allowed to identify physicians and radiologic technologists in nuclear medicine departments as the most exposed medical workers in France, and to show an overall decrease trend in radiation exposure. This should be instructive for radiation monitoring and safety of exposed medical workers.
Key Points
• Radiation exposure of healthcare workers in most medical departments has steadily decreased between 2009 and 2019 in several French hospitals.
• The number of zero doses consistently increased during the study period.
• Workers in nuclear medicine departments are the most exposed, especially radiologic technologists and physicians.</description><subject>Diagnostic Radiology</subject><subject>Dosimeters</subject><subject>Dosimetry</subject><subject>Drug dosages</subject><subject>Hospitals</subject><subject>Humanities and Social Sciences</subject><subject>Imaging</subject><subject>Information systems</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Ionizing radiation</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear medicine</subject><subject>Nuclear safety</subject><subject>Occupational exposure</subject><subject>Occupational health</subject><subject>Physicians</subject><subject>Radiation</subject><subject>Radiation effects</subject><subject>Radiation measurement</subject><subject>Radiological Education</subject><subject>Radiology</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Technologists</subject><subject>Trends</subject><subject>Ultrasound</subject><issn>1432-1084</issn><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kstu1TAQhiMEohd4ARbIEhuEFBjbudhsUFUBrXSkbmBtObbT4yonDr5U9Kx4B96QJ6lz0vuClS37-2f-0fxF8QbDRwzQfgoAlEIJhJbA6wqX22fFPq4oKTGw6vmD-15xEMIFAHBctS-LPdpwCqQh-8X2TKk0yWjdKAdkfk8uJG9QdCi_2K0dz5GX2u4AZEe0MdqqTIYo-_4zit6MOiCd_EzGtUEkN_n35y8BzNFkvHV6lkm0SUO0yozRW5XVSV-9Kl70cgjm9c15WPz89vXH8Um5Ovt-eny0KlXdNrHspNEAhDNOWlNXrJN1TeZRqKxwx5nWtJeUctY0qmGqI7UkpDJdx3qKsezpYfFlqTulLtvfeZCDmLzdSH8lnLTi8c9o1-LcXQoMlDS4ZrnCh6XC-onu5GglrA-jgAoYJby9xBl-f9POu1_JhCg2NigzDHI0LgVBWDbL25pXGX33BL1wyedFLBQDYIRkiiyU8i4Eb_o7CxjEHASxBEHkIIhdEMQ2i94-HPpOcrv5DNAFCNO8O-Pve_-n7DUeJL-u</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Baudin, 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exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study</title><author>Baudin, Clémence ; Vacquier, Blandine ; Thin, Guillemette ; Chenene, Lamine ; Guersen, Joël ; Partarrieu, Isabelle ; Louet, Martine ; Ducou Le Pointe, Hubert ; Mora, Stéphanie ; Verdun-Esquer, Catherine ; Feuardent, Juliette ; Rousseau, Frédéric ; Roy, Hervé ; Bensefa-Colas, Lynda ; Boyer, Louis ; Bernier, Marie-Odile</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-baed00298927e548ba55200093a41b98dd3fa339866c68cb25a224ebb8f311af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Diagnostic Radiology</topic><topic>Dosimeters</topic><topic>Dosimetry</topic><topic>Drug dosages</topic><topic>Hospitals</topic><topic>Humanities and Social Sciences</topic><topic>Imaging</topic><topic>Information systems</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Ionizing radiation</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear medicine</topic><topic>Nuclear safety</topic><topic>Occupational exposure</topic><topic>Occupational health</topic><topic>Physicians</topic><topic>Radiation</topic><topic>Radiation effects</topic><topic>Radiation measurement</topic><topic>Radiological Education</topic><topic>Radiology</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Technologists</topic><topic>Trends</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baudin, Clémence</creatorcontrib><creatorcontrib>Vacquier, Blandine</creatorcontrib><creatorcontrib>Thin, Guillemette</creatorcontrib><creatorcontrib>Chenene, Lamine</creatorcontrib><creatorcontrib>Guersen, Joël</creatorcontrib><creatorcontrib>Partarrieu, Isabelle</creatorcontrib><creatorcontrib>Louet, Martine</creatorcontrib><creatorcontrib>Ducou Le Pointe, Hubert</creatorcontrib><creatorcontrib>Mora, Stéphanie</creatorcontrib><creatorcontrib>Verdun-Esquer, Catherine</creatorcontrib><creatorcontrib>Feuardent, Juliette</creatorcontrib><creatorcontrib>Rousseau, Frédéric</creatorcontrib><creatorcontrib>Roy, Hervé</creatorcontrib><creatorcontrib>Bensefa-Colas, Lynda</creatorcontrib><creatorcontrib>Boyer, Louis</creatorcontrib><creatorcontrib>Bernier, Marie-Odile</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni 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USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société (Open Access)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baudin, Clémence</au><au>Vacquier, Blandine</au><au>Thin, Guillemette</au><au>Chenene, Lamine</au><au>Guersen, Joël</au><au>Partarrieu, Isabelle</au><au>Louet, Martine</au><au>Ducou Le Pointe, Hubert</au><au>Mora, Stéphanie</au><au>Verdun-Esquer, Catherine</au><au>Feuardent, Juliette</au><au>Rousseau, Frédéric</au><au>Roy, Hervé</au><au>Bensefa-Colas, Lynda</au><au>Boyer, Louis</au><au>Bernier, Marie-Odile</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>33</volume><issue>8</issue><spage>5675</spage><epage>5684</epage><pages>5675-5684</pages><issn>1432-1084</issn><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs ioniSants study aims to evaluate and characterize the trends in radiation exposure of health workers in France between 2009 and 2019.
Methods
This retrospective study includes all health workers with at least one dosimetric record in the system for occupational dosimetry registration (Système d’information de la surveillance de l’exposition aux rayonnements ionisants) database for each of the years 2009, 2014, and 2019, in the hospitals included in the study. Individual external doses and socio-professional data were collected. Statistical analyses include descriptions, graphs, and logistic regressions.
Results
A total of 1457 workers were included (mean age: 39.8 years, 59% women). The average exposure significantly decreased between 2009 and 2019 (−0.008 mSv/year,
p
< 0.05). There were large discrepancies in trends according to professions, departments, hospitals, and gender. Over the 10-year study period, radiologic technologists and physicians were the most exposed (0.15 mSv (95%CI 0.14–0.16) and 0.13 mSv (0.06–0.21), respectively), but their exposure tended to decrease. Workers in nuclear medicine departments had the highest radiation exposure (0.36 mSv (0.33–0.39)), which remained stable over time. Thirty-eight percent of recorded doses were nonzero in 2009, decreasing to 20% in 2019.
Conclusions
This study allowed to identify physicians and radiologic technologists in nuclear medicine departments as the most exposed medical workers in France, and to show an overall decrease trend in radiation exposure. This should be instructive for radiation monitoring and safety of exposed medical workers.
Key Points
• Radiation exposure of healthcare workers in most medical departments has steadily decreased between 2009 and 2019 in several French hospitals.
• The number of zero doses consistently increased during the study period.
• Workers in nuclear medicine departments are the most exposed, especially radiologic technologists and physicians.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36930262</pmid><doi>10.1007/s00330-023-09541-z</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2240-1548</orcidid><orcidid>https://orcid.org/0000-0001-5807-4596</orcidid><orcidid>https://orcid.org/0000-0002-6667-8629</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1084 |
| ispartof | European radiology, 2023-08, Vol.33 (8), p.5675-5684 |
| issn | 1432-1084 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10326158 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Diagnostic Radiology Dosimeters Dosimetry Drug dosages Hospitals Humanities and Social Sciences Imaging Information systems Internal Medicine Interventional Radiology Ionizing radiation Medical personnel Medicine Medicine & Public Health Neuroradiology Nuclear medicine Nuclear safety Occupational exposure Occupational health Physicians Radiation Radiation effects Radiation measurement Radiological Education Radiology Statistical analysis Statistics Technologists Trends Ultrasound |
| title | Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study |
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