Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure

Jeremy F. McBride; Richard M. Wardrop; Ben E. Paxton; Jay Mandrekar; Joel G. Fletcher

doi:10.1016/j.clinimag.2012.01.001

Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure

Jeremy F. McBride, Richard M. Wardrop, Ben E. Paxton, Jay Mandrekar, Joel G. Fletcher

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

13 Scopus citations

Abstract

Purpose: We surveyed ordering physician attitudes, knowledge, and behavior with regard to computed tomography (CT)-related radiation exposure at a large medical center. Methods: Sixteen questions were sent via electronic survey to 350 physicians. Results and conclusion: The ability to quickly rule in or rule out conditions effectively strongly influenced the decision to order CT (85%-99%). Fear of litigation influenced CT ordering for those with less experience [odds ratio (OR)=2.3, P<.05]. Residents and primary care physicians were less likely to discuss risks/benefits of CT with patients (P≤.03) compared to those with >5 years of experience (OR=4.0, P=04).

Original language	English (US)
Pages (from-to)	455-461.e1
Journal	Clinical Imaging
Volume	36
Issue number	5
DOIs	https://doi.org/10.1016/j.clinimag.2012.01.001
State	Published - Sep 2012

Keywords

Benefit-to-risk
Computed X-ray tomography
Informed consent
Radiation dose
Radiation risk

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.clinimag.2012.01.001

Cite this

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title = "Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure",

abstract = "Purpose: We surveyed ordering physician attitudes, knowledge, and behavior with regard to computed tomography (CT)-related radiation exposure at a large medical center. Methods: Sixteen questions were sent via electronic survey to 350 physicians. Results and conclusion: The ability to quickly rule in or rule out conditions effectively strongly influenced the decision to order CT (85%-99%). Fear of litigation influenced CT ordering for those with less experience [odds ratio (OR)=2.3, P<.05]. Residents and primary care physicians were less likely to discuss risks/benefits of CT with patients (P≤.03) compared to those with >5 years of experience (OR=4.0, P=04).",

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AU - McBride, Jeremy F.

AU - Wardrop, Richard M.

AU - Paxton, Ben E.

AU - Mandrekar, Jay

AU - Fletcher, Joel G.

PY - 2012/9

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AB - Purpose: We surveyed ordering physician attitudes, knowledge, and behavior with regard to computed tomography (CT)-related radiation exposure at a large medical center. Methods: Sixteen questions were sent via electronic survey to 350 physicians. Results and conclusion: The ability to quickly rule in or rule out conditions effectively strongly influenced the decision to order CT (85%-99%). Fear of litigation influenced CT ordering for those with less experience [odds ratio (OR)=2.3, P<.05]. Residents and primary care physicians were less likely to discuss risks/benefits of CT with patients (P≤.03) compared to those with >5 years of experience (OR=4.0, P=04).

KW - Benefit-to-risk

KW - Computed X-ray tomography

KW - Informed consent

KW - Radiation dose

KW - Radiation risk

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Effect on examination ordering by physician attitude, common knowledge, and practice behavior regarding CT radiation exposure

Abstract

Keywords

ASJC Scopus subject areas

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