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Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis. / Durutovic, Otaš; Zeng, Guohua; Somani, Bhaskar; Choong, Simon; Mazzon, Giorgio; Gu, Di; Hameed, Zeeshan; Rajeev, T P; Milojevic, Bogomir; Brusa, Davide; Oliveira, Tiago Ribeiro; Pereira, Sergio; Gadzhiev, Nariman; Gozen, Ali Serdar; Liatsikos, Evangelos; Kallidonis, Panagiotis; Bumbasirevic, Uros; Skolarikos, Andreas.

In: Asian Journal of Urology, Vol. 12, No. 1, 01.2025, p. 51-58.

Research output: Contribution to journal › Article › peer-review

Harvard

Durutovic, O, Zeng, G, Somani, B, Choong, S, Mazzon, G, Gu, D, Hameed, Z, Rajeev, TP, Milojevic, B, Brusa, D, Oliveira, TR, Pereira, S, Gadzhiev, N, Gozen, AS, Liatsikos, E, Kallidonis, P, Bumbasirevic, U & Skolarikos, A 2025, 'Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis', Asian Journal of Urology, vol. 12, no. 1, pp. 51-58. https://doi.org/10.1016/j.ajur.2024.02.004

APA

Durutovic, O., Zeng, G., Somani, B., Choong, S., Mazzon, G., Gu, D., Hameed, Z., Rajeev, T. P., Milojevic, B., Brusa, D., Oliveira, T. R., Pereira, S., Gadzhiev, N., Gozen, A. S., Liatsikos, E., Kallidonis, P., Bumbasirevic, U., & Skolarikos, A. (2025). Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis. Asian Journal of Urology, 12(1), 51-58. https://doi.org/10.1016/j.ajur.2024.02.004

Vancouver

Durutovic O, Zeng G, Somani B, Choong S, Mazzon G, Gu D et al. Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis. Asian Journal of Urology. 2025 Jan;12(1):51-58. https://doi.org/10.1016/j.ajur.2024.02.004

Author

Durutovic, Otaš ; Zeng, Guohua ; Somani, Bhaskar ; Choong, Simon ; Mazzon, Giorgio ; Gu, Di ; Hameed, Zeeshan ; Rajeev, T P ; Milojevic, Bogomir ; Brusa, Davide ; Oliveira, Tiago Ribeiro ; Pereira, Sergio ; Gadzhiev, Nariman ; Gozen, Ali Serdar ; Liatsikos, Evangelos ; Kallidonis, Panagiotis ; Bumbasirevic, Uros ; Skolarikos, Andreas. / Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis. In: Asian Journal of Urology. 2025 ; Vol. 12, No. 1. pp. 51-58.

BibTeX

@article{9225b5f11c2d4dc3810c706251315439,
title = "Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better?: A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis",
abstract = "OBJECTIVE: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy.METHODS: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection.RESULTS: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, p=0.008). Precautions to reduce exposure appeared poorly followed as up to 25.4% of respondents used regularly continuous fluoroscopy, and up to 20.5% used regularly high-frequency setting and this trend was more obvious among senior specialists (6.2% of trainees used high-frequency settings vs. 21.3% of consultants, p<0.05). Additionally, only 24.9% of respondents would provide X-ray protection to patients too.CONCLUSION: Although high and routinary utilization of X-rays, the level of awareness and adhesion to {"}as low as reasonably achievable{"} principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues.",
author = "Ota{\v s} Durutovic and Guohua Zeng and Bhaskar Somani and Simon Choong and Giorgio Mazzon and Di Gu and Zeeshan Hameed and Rajeev, {T P} and Bogomir Milojevic and Davide Brusa and Oliveira, {Tiago Ribeiro} and Sergio Pereira and Nariman Gadzhiev and Gozen, {Ali Serdar} and Evangelos Liatsikos and Panagiotis Kallidonis and Uros Bumbasirevic and Andreas Skolarikos",
note = "{\textcopyright} 2025 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V{\'e}.",
year = "2025",
month = jan,
doi = "10.1016/j.ajur.2024.02.004",
language = "English",
volume = "12",
pages = "51--58",
journal = "Asian Journal of Urology",
issn = "2214-3882",
publisher = "Elsevier",
number = "1",

}

RIS

TY - JOUR

T1 - Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better?

T2 - A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis

AU - Durutovic, Otaš

AU - Zeng, Guohua

AU - Somani, Bhaskar

AU - Choong, Simon

AU - Mazzon, Giorgio

AU - Gu, Di

AU - Hameed, Zeeshan

AU - Rajeev, T P

AU - Milojevic, Bogomir

AU - Brusa, Davide

AU - Oliveira, Tiago Ribeiro

AU - Pereira, Sergio

AU - Gadzhiev, Nariman

AU - Gozen, Ali Serdar

AU - Liatsikos, Evangelos

AU - Kallidonis, Panagiotis

AU - Bumbasirevic, Uros

AU - Skolarikos, Andreas

N1 - © 2025 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.Vé.

PY - 2025/1

Y1 - 2025/1

N2 - OBJECTIVE: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy.METHODS: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection.RESULTS: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, p=0.008). Precautions to reduce exposure appeared poorly followed as up to 25.4% of respondents used regularly continuous fluoroscopy, and up to 20.5% used regularly high-frequency setting and this trend was more obvious among senior specialists (6.2% of trainees used high-frequency settings vs. 21.3% of consultants, p<0.05). Additionally, only 24.9% of respondents would provide X-ray protection to patients too.CONCLUSION: Although high and routinary utilization of X-rays, the level of awareness and adhesion to "as low as reasonably achievable" principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues.

AB - OBJECTIVE: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy.METHODS: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection.RESULTS: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, p=0.008). Precautions to reduce exposure appeared poorly followed as up to 25.4% of respondents used regularly continuous fluoroscopy, and up to 20.5% used regularly high-frequency setting and this trend was more obvious among senior specialists (6.2% of trainees used high-frequency settings vs. 21.3% of consultants, p<0.05). Additionally, only 24.9% of respondents would provide X-ray protection to patients too.CONCLUSION: Although high and routinary utilization of X-rays, the level of awareness and adhesion to "as low as reasonably achievable" principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues.

UR - https://www.mendeley.com/catalogue/f6bd77a7-6d82-3f15-a7f4-9c3ce6ca9cde/

U2 - 10.1016/j.ajur.2024.02.004

DO - 10.1016/j.ajur.2024.02.004

M3 - Article

C2 - 39990078

VL - 12

SP - 51

EP - 58

JO - Asian Journal of Urology

JF - Asian Journal of Urology

SN - 2214-3882

IS - 1

ER -

ID: 135983174