G. Najafi , R. Lakshminarayan , P. Haslam , I. McCafferty , R. Morgan , R. Uberoi , M. Hamady
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引用次数: 0
Abstract
Aims
There is no comprehensive data collection outlining the numbers and types of interventional radiology (IR) procedures in the United Kingdom. Similarly, limited data are available on the IR facilities and workforce within the National Health Services (NHS) trusts. The purpose of this study is to evaluate the number/type of IR procedures, facilities, and workforces across England and Wales.
Materials and Methods
This retrospective study used the 2000 Freedom of Information Act to obtain information regarding the IR procedures performed in NHS trusts in England and Wales from 2017 to 2021. We collected additional information on IR workforce and facilities, including the number of IR consultants, nurses, trainees, and angiographic suites and day case units; analysed procedures by complexity; and performed data analysis by region.
Results
A total of 1,340,352 IR procedures were analysed. An increasing trend was observed in the number of IR procedures from 2017 to 2021 (p=0.07, R=0.93). There were more intermediate and complex procedures than simple ones (p=0.0001). Notable geographical variation was observed in terms of IR facilities including angiographic suites and day case units, and the number of IR consultants, nurses, and trainees.
Conclusions
The IR field continues to grow as evidenced by increasing trends in the number and complexity of the procedures over the years. There is an uneven IR workforce, services, and facilities distribution across England and Wales. Therefore, there is a crucial need for centralised data collection to evaluate and monitor interventions besides comprehensive revision of UK IR service provision.
目前还没有全面的数据收集来概述英国介入放射学（IR）手术的数量和类型。同样，有关国民健康服务（NHS）信托机构内 IR 设施和工作人员的数据也很有限。本研究的目的是评估英格兰和威尔士的 IR 程序、设施和工作人员的数量/类型。这项回顾性研究利用 2000 年的《信息自由法》（Freedom of Information Act），获取了 2017 年至 2021 年期间英格兰和威尔士的 NHS 信托机构所实施的 IR 程序的相关信息。我们还收集了有关 IR 工作人员和设施的其他信息，包括 IR 顾问、护士、受训人员以及血管造影室和日间病例室的数量；按复杂程度对手术进行了分析；并按地区进行了数据分析。共分析了 1,340,352 例 IR 手术。从2017年到2021年，IR手术数量呈上升趋势（=0.07，R=0.93）。中级和复杂手术多于简单手术（=0.0001）。在包括血管造影室和日间病例室在内的IR设施以及IR顾问、护士和受训人员数量方面，观察到明显的地域差异。多年来，血管造影手术的数量和复杂程度呈上升趋势，这证明血管造影领域在不断发展。英格兰和威尔士的 IR 工作人员、服务和设施分布不均。因此，除了全面修订英国 IR 服务提供情况外，还亟需集中收集数据，以评估和监测干预措施。
期刊介绍：
Clinical Radiology is published by Elsevier on behalf of The Royal College of Radiologists. Clinical Radiology is an International Journal bringing you original research, editorials and review articles on all aspects of diagnostic imaging, including:
• Computed tomography
• Magnetic resonance imaging
• Ultrasonography
• Digital radiology
• Interventional radiology
• Radiography
• Nuclear medicine
Papers on radiological protection, quality assurance, audit in radiology and matters relating to radiological training and education are also included. In addition, each issue contains correspondence, book reviews and notices of forthcoming events.
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