Attenzione: i dati modificati non sono ancora stati salvati. Per confermare inserimenti o cancellazioni di voci è necessario confermare con il tasto SALVA/INSERISCI in fondo alla pagina
SFERA Archivio dei prodotti della Ricerca dell'Università di Ferrara
Objectives The aim of this study was to investigate gender-based differences in nuclear cardiology practice globally, with a particular focus on laboratory volume, radiation dose, protocols, and best practices. Background It is unclear whether gender-based differences exist in radiation exposure for nuclear cardiology procedures. Methods In a large, multicenter, observational, cross-sectional study encompassing 7,911 patients in 65 countries, radiation effective dose was estimated for each examination. Patient-level best practices relating to radiation exposure were compared between genders. Analysis of covariance was used to determine any difference in radiation exposure according to gender, region, and the interaction between gender and region. Linear, logistic, and hierarchical regression models were developed to evaluate gender-based differences in radiation exposure and laboratory adherence to best practices. The study also included the United Nations Gender Inequality Index and Human Development Index as covariates in multivariable models. Results The proportion of myocardial perfusion imaging studies performed in women varied among countries; however, there was no significant correlation with the Gender Inequality Index. Globally, mean effective dose for nuclear cardiology procedures was only slightly lower in women (9.6 ± 4.5 mSv) than in men (10.3 ± 4.5 mSv; p < 0.001), with a difference of only 0.3 mSv in a multivariable model adjusting for patients' age and weight. Stress-only imaging was performed more frequently in women (12.5% vs. 8.4%; p < 0.001); however, camera-based dose reduction strategies were used less frequently in women (58.6% vs. 65.5%; p < 0.001). Conclusions Despite significant worldwide variation in best practice use and radiation doses from nuclear cardiology procedures, only small differences were observed between genders worldwide. Regional variations noted in myocardial perfusion imaging use and radiation dose offer potential opportunities to address gender-related differences in delivery of nuclear cardiology care.
Gender Differences in Radiation Dose from Nuclear Cardiology Studies Across the World Findings from the INCAPS Registry
Shi, Lynn;Dorbala, Sharmila;Paez, Diana;Shaw, Leslee J.;Zukotynski, Katherine A.;Pascual, Thomas N. B.;Karthikeyan, Ganesan;Vitola, João V.;Better, Nathan;Bokhari, Nadia;Rehani, Madan M.;Kashyap, Ravi;Dondi, Maurizio;Mercuri, Mathew;Einstein, Andrew J.;Einstein, A. J.;Pascual, T. N. B.;Paez, D.;Dondi, M.;Better, N.;Bouyoucef, S. E.;Karthikeyan, G.;Kashyap, R.;Lele, V.;Magboo, V. P. C.;Mahmarian, J. J.;Meeks, J. B.;Mut, F.;Rehani, M. M.;Vitola, J. V.;Alexanderson, E.;Allam, A.;Al-Mallah, M. H.;Better, N.;Bouyoucef, S. E.;Bom, H.;Flotats, A.;Jerome, S.;Kaufmann, P. A.;Lele, V.;Luxenburg, O.;Mahmarian, J.;Shaw, L. J.;Underwood, S. R.;Vitola, J.;Amouri, W.;Essabbah, H.;Gassama, S. S.;Makhdomi, K. B.;El Mustapha, G. I. E.;El Ouchdi, N.;Qaïs, N.;Soni, N.;Vangu, W.;Abazid, R. M.;Adams, B.;Agarwal, V.;Alfeeli, M. A.;Alnafisi, N.;Bernabe, L.;Bural, G. G.;Chaiwatanarat, T.;Chandraguptha, J. M.;Cheon, G. J.;Cho, I.;Dogan, A. S.;Eftekhari, M.;Frenkel, A.;Garty, I.;George, S.;Geramifar, P.;Golan, H.;Habib, S.;Hussain, R.;Im, H.;Jeon, H. -J.;Kalawat, T.;Kang, W. J.;Keng, F.;Klaipetch, A.;Kumar, P. G.;Lee, J.;Lee, W. W.;Lim, I.;Macaisa, C. M. M.;Malhotra, G.;Mittal, B. R.;Mohammad, M. H.;Mohan, P.;Mulyanto, I. D.;Nariman, D.;Nayak, U. N.;Niaz, K.;Nikolov, G.;Obaldo, J. M.;Ozturk, E.;Park, J. M.;Park, S.;Patel, C. D.;Phuong, H. K.;Quinon, A. P.;Rajini, T. R.;Saengsuda, Y.;Santiago, J.;Sayman, H. B.;Shinto, A. S.;Sivasubramaniyan, V.;Son, M. H.;Sudhakar, P.;Syed, G. M. S.;Tamaki, N.;Thamnirat, K.;Thientunyakit, T.;Thongmak, S.;Velasco, D. N.;Verma, A.;Vutrapongwatana, U.;Wang, Y.;Won, K. S.;Yao, Z.;Yingsa-Nga, T.;Yudistiro, R.;Yue, K. T.;Zafrir, N.;Adrian, S. C.;Agostini, D.;Aguadé, S.;Armitage, G.;Backlund, M.;Backman, M.;Baker, M.;Balducci, M. T.;Bavelaar, C.;Berovic, M.;Bertagna, F.;Beuchel, R.;Biggi, A.;Bisi, G.;Bonini, R.;Bradley, A.;Brudin, L.;Bruno, I.;Busnardo, E.;Casoni, R.;Choudhri, A.;Cittanti, C.;Clauss, R.;Costa, D. C.;Costa, M.;Dixon, K.;Dziuk, M.;Egelic, N.;Eriksson, I.;Fagioli, G.;De Faria, D. B.;Florimonte, L.;Francini, A.;French, M.;Gallagher, E.;Garai, I.;Geatti, O.;Genovesi, D.;Gianolli, L.;Gimelli, A.;Del Giudice, E.;Halliwell, S.;Hansson, M. J.;Harrison, C.;Homans, F.;Horton, F.;Jȩdrzejuk, D.;Jogi, J.;Johansen, A.;Johansson, H.;Kalnina, M.;Kaminek, M.;Kiss, A.;Kobylecka, M.;Kostkiewicz, M.;Kropp, J.;Kullenberg, R.;Lahoutte, T.;Lang, O.;Larsson, Y. H.;Lázár, M.;Leccisotti, L.;Leners, N.;Lindner, O.;Lipp, R. W.;Maenhout, A.;Maffioli, L.;Marcassa, C.;Martins, B.;Marzullo, P.;Medolago, G.;Mendiguchía, C. G.;Mirzaei, S.;Mori, M.;Nardi, B.;Nazarenko, S.;Nikoletic, K.;Oleksa, R.;Parviainen, T.;Patrina, J.;Peace, R.;Pirich, C.;Piwowarska-Bilska, H.;Popa, S.;Prakash, V.;Pubul, V.;Puklavec, L.;Rac, S.;Ratniece, M.;Rogan, S. A.;Romeo, A.;Rossi, M.;Ruiz, D.;Sabharwal, N.;Salobir, B. G.;Santos, A. I.;Saranovic, S.;Sarkozi, A.;Schneider, R. P.;Sciagra, R.;Scotti, S.;Servini, Z.;Setti, L. R.;Starck, S. -A.;Vajauskas, D.;Veselý, J.;Vieni, A.;Vignati, A.;Vito, I. M.;Weiss, K.;Wild, D.;Zdraveska-Kochovska, M.;Agüro, R. N.;Alvarado, N.;Barral, C. M.;Beretta, M.;Berrocal, I.;Batista Cuellar, J. F.;Cabral Chang, T. -M.;Cabrera Rodríguez, L. O.;Canessa, J.;Castro Mora, G.;Claudia, A. C.;Clavelo, G. F.;Cruz Júnior, A. F.;Faccio, F. F.;Fernández, K. M.;Gomez Garibo, J. R.;Gonzalez, U.;González, E. P.;Guzzo, M. A.;Jofre, J.;Kapitán, M.;Kempfer, G.;Lopez, J. L.;Massardo, V. T.;Medeiros Colaco, I.;Mesquita, C. T.;Montecinos, M.;Neubauer, S.;Pabon, L. M.;Puente, A.;Rochela Vazquez, L. M.;Serna Macias, J. A.;Silva Pino, A. G.;Tártari Huber, F. Z.;Tovar, A. P.;Vargas, L.;Wiefels, C.;Aljizeeri, A.;Alvarez, R. J.;Barger, D.;Beardwood, W.;Behrens, J.;Brann, L.;Brown, D.;Carr, H.;Churchwell, K.;Comingore, G. A.;Corbett, J.;Costello, M.;Cruz, F.;Depinet, T.;Dorbala, S.;Earles, M.;Esteves, F. P.;Etherton, E.;Fanning, R. J.;Fornace, J.;Franks, L.;Gewirtz, H.;Gulanchyn, K.;Hannah, C. -L.;Hays, J.;Hendrickson, J.;Hester, J.;Holmes, K.;Jerome, S.;Johnson, A.;Jopek, C.;Lewin, H.;Lyons, J.;Manley, C.;Meden, J.;Moore, S.;Moore, W. H.;Murthy, V.;Nace, R.;Neely, D.;Nelson, L.;Niedermaier, O.;Rice, D.;Rigs, R.;Schiffer, K.;Schockling, E.;Schultz, T.;Schumacker, T.;Sheesley, B.;Sheikh, A.;Siegel, B.;Slim, A. M.;Smith, J.;Szulc, M.;Tanskersley, N.;Tilkemeier, P.;Valdez, G. D.;Vrooman, R.;Wawrowicz, D.;Winchester, D. E.;Alcheikh, A.;Allen, B.;Atkins, E.;Bevan, J.;Bonomini, C.;Christiansen, J.;Clack, L.;Craig, E.;Dixson, H.;Duncan, I.;Fredericks, S.;Gales, S.;Hampson, R.;Hanley, T.;Hartcher, K.;Hassall, J.;Kelley, B.;Kelly, S.;Kidd, T.;De Kort, T.;Larcos, G.;Macdonald, W.;McGrath, C.;Murdoch, E.;O'Malley, S.;O'Rourke, M.;Pack, M.;Pearce, R.;Praehofer, R.;Ramsay, S.;Scarlett, L.;Smidt, K.;Souvannavong, F.;Taubman, K.;Taylor, G.;Tse, K.;Unger, S.;Weale, J.
2016
Abstract
Objectives The aim of this study was to investigate gender-based differences in nuclear cardiology practice globally, with a particular focus on laboratory volume, radiation dose, protocols, and best practices. Background It is unclear whether gender-based differences exist in radiation exposure for nuclear cardiology procedures. Methods In a large, multicenter, observational, cross-sectional study encompassing 7,911 patients in 65 countries, radiation effective dose was estimated for each examination. Patient-level best practices relating to radiation exposure were compared between genders. Analysis of covariance was used to determine any difference in radiation exposure according to gender, region, and the interaction between gender and region. Linear, logistic, and hierarchical regression models were developed to evaluate gender-based differences in radiation exposure and laboratory adherence to best practices. The study also included the United Nations Gender Inequality Index and Human Development Index as covariates in multivariable models. Results The proportion of myocardial perfusion imaging studies performed in women varied among countries; however, there was no significant correlation with the Gender Inequality Index. Globally, mean effective dose for nuclear cardiology procedures was only slightly lower in women (9.6 ± 4.5 mSv) than in men (10.3 ± 4.5 mSv; p < 0.001), with a difference of only 0.3 mSv in a multivariable model adjusting for patients' age and weight. Stress-only imaging was performed more frequently in women (12.5% vs. 8.4%; p < 0.001); however, camera-based dose reduction strategies were used less frequently in women (58.6% vs. 65.5%; p < 0.001). Conclusions Despite significant worldwide variation in best practice use and radiation doses from nuclear cardiology procedures, only small differences were observed between genders worldwide. Regional variations noted in myocardial perfusion imaging use and radiation dose offer potential opportunities to address gender-related differences in delivery of nuclear cardiology care.
I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11392/2398521
Attenzione
Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo
Citazioni
4
15
11
social impact
Conferma cancellazione
Sei sicuro che questo prodotto debba essere cancellato?
simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
