Survey of physicians’ attitudes toward computerized tomography imaging for pediatric head trauma

DOI
  • Shimokawa Shoko
    Medical safety committee, Japanese Society of Child Neurology Department of neurosurgery, Kurume University School of medicine, Kurume, Fukuoka
  • Korematsu Seigo
    Medical safety committee, Japanese Society of Child Neurology Department of Pediatrics, Saitama Medical Center, Kawagoe, Saitama
  • Hoshide Madoka
    Medical safety committee, Japanese Society of Child Neurology Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi
  • Miyata Rie
    Medical safety committee, Japanese Society of Child Neurology Department of Pediatrics, Tokyo-kita medical center, Tokyo
  • Ishikawa Junichi
    Medical safety committee, Japanese Society of Child Neurology Emergency and Critical Care Medical Center and Pediatric emergency medicine, Osaka City General Hospital, Osaka
  • Uematsu Satoko
    Medical safety committee, Japanese Society of Child Neurology Division of Pediatric Emergency and Transport Services, National Center for Child Health and Development, Tokyo
  • Fujii Yuta
    Medical safety committee, Japanese Society of Child Neurology Department of Radiology, Kanagawa Children’s Medical Center, Yokohama, Kanagawa
  • Kakuma Tatsuyuki
    Biostatistics Center, Kurume University, Kurume, Fukuoka
  • Takeshima Yasuhiro
    Medical safety committee, Japanese Society of Child Neurology Department of Pediatrics, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo

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Other Title
  • 小児頭部外傷時のCT撮影に関する医師の意識調査

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Abstract

<p>  Objective: The Medical Safety Committee of the Japanese Society of Child Neurology published “Recommendations for Criteria for Examining CT for Head Trauma in Children” (Recommendations) in 2019. Subsequently, revisions in the medical fees were made in 2020, and the change in requirements of medical fees related to CT examinations for pediatric head trauma was done. The present study aims to determine whether physicians are aware about the recommendations and the change in requirements of medical fees related to CT examinations for pediatric head trauma, and whether they apply the diagnostic algorithms for pediatric head trauma in Japan. We also identified factors related to the awareness and application of the diagnostic algorithms. Methods: We surveyed 7,590 physicians who treat pediatric head trauma in Japan through a web-based questionnaire. Statistical analysis was performed using a decision tree analysis and logistic regression model. Results: A total of 1,073 physicians participated in the survey (14.1% response rate). The survey respondents were male (75.2%), female (24.8%), pediatricians (65.6%), neurosurgeons (19.0%), pediatric emergency physicians (6.1%), pediatric surgeons (5.3%), radiologists (3.2%), and other physicians (0.8%). 64.6% of the physicians acknowledged the recommendations, and the factors related to this were department and position (p<0.001). Only 14.5% of physicians recognized the additional requirements. Moreover, only two-thirds of these physicians were able to implement them at their hospitals. The physicians who treated more than 6 trauma cases per month and worked at clinical training hospitals recognized the additional requirements and application of the diagnostic algorithms (p<0.001). Conclusion: The diagnostic algorithms for pediatric head trauma should be utilized in medical practice to reduce radiation exposure in children. It is necessary to widely inform diagnostic algorithm to physicians through various media since the previous recommendations and revisions in the medical fees for head trauma have not been sufficient.</p>

Journal

  • NO TO HATTATSU

    NO TO HATTATSU 55 (1), 27-33, 2023

    The Japanese Society of Child Neurology

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