ABSTRACTS
PRESENTADOS
AL 11th INTERNATIONAL SYMPOSIUM "RADIONUCLIDES IN NEPHRO-UROLOGY",
REALIZADO EN MONTEREY, CALIFORNIA, 13-17 MAYO 2001.
20. IMPACT
OF RADIONUCLIDES IN NEPHROUROLOGY (RIN) GUIDELINES.
P.S.Cosgriff,
D. Stevens.
Department of Medical Physics, Pilgrim Hospital, Boston,
UK
phil@phb-mpd.demon.co.uk
We
undertook a postal survey of 200 nuclear medicine departments within
the UK and received 75 replies (38%). Renographic workload varies
greatly, from "less than 30 per year" (7 departments) to
"more than 200 per year" (14 departments). Questions were
asked about awareness and influence of three RIN guidelines relating
to diuresis renography, captopril renography, and renographic measurement
of renal functional. Results were as follows.
The
responder was invited to cite specific changes in procedures. Supplementary
questions were asked about particularly influential renography publications
(apart from the RIN guidelines) and an opportunity was given to comment
on the general value of guidelines in routine clinical practice. A
summary of these comments will be presented. Some responders had not
changed their procedures because they felt that they already complied
with the guideline in question.
In conclusion, general awareness of the guidelines is only 'reasonable'
despite fairly active promotion within the UK over the last few years.
Impact appears low, in percentage terms, but some notable changes
in practice had been achieved. More imaginative methods of communications
(e.g. specific workshops, direct e-mail notification, web site availability)
were suggested as means of improving dissemination and, thereby, standardization.
Formal support/adoption by the British Nuclear Medicine Society was
also mentioned as an important factor.
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