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Developing a clinical pediatric interventional practice: a joint clinical practice guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology

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References

  1. Cardella JF, Kundu S, Miller DL et al (2009) Society of interventional radiology clinical practice guidelines. J Vasc Interv Radiol 20(Suppl):S189–S191

    Article  PubMed  Google Scholar 

  2. Schor EL (2003) Family pediatrics: report of the task force on the family. Pediatrics 111:1541–1571

    PubMed  Google Scholar 

  3. Wraith A (2002) Sedation of children. SIGN guidelines. SAAD Dig 19:3–13

    PubMed  Google Scholar 

  4. ACR-SIR Practice Guideline for Sedation/Analgesia (2010) American College of Radiology, Reston, VA, Available via http://www.acr.org/SecondaryMainMenuCategories/quality_safety/RadSafety/OtherSafetyTopics/Sedation.aspx. Accessed 6 Sept 2011

  5. Connolly B, Racadio J, Towbin R (2006) Practice of ALARA in the pediatric interventional suite. Pediatr Radiol 36(Suppl 2):163–167

    Article  PubMed  Google Scholar 

  6. Hall EJ (2009) Radiation biology for pediatric radiologists. Pediatr Radiol 39(Suppl 1):S57–S64

    Article  PubMed  Google Scholar 

  7. Miller DL, Balter S, Schueler BA et al (2010) Clinical radiation management for fluoroscopically guided interventional procedures. Radiology 257:321–332

    Article  PubMed  Google Scholar 

  8. Kleinerman RA (2006) Cancer risks following diagnostic and therapeutic radiation exposure in children. Pediatr Radiol 36(Suppl 2):121–125

    Article  PubMed  Google Scholar 

  9. Faulkner K, Ortiz-Lopez P, Vano E (2005) Patient dosimetry in diagnostic and interventional radiology: a practical approach using trigger levels. Radiat Protect Dosim 117:166–168

    Article  CAS  Google Scholar 

  10. Staniszewska MA, Jankowski J (2000) Personnel exposure during interventional radiologic procedures. Med Pr 51:563–571

    PubMed  CAS  Google Scholar 

  11. Amis ES Jr, Butler PF, Applegate KE et al (2007) American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 4:272–284

    Article  PubMed  Google Scholar 

  12. Miller DL, Vañó E, Bartal G et al (2010) Occupational radiation protection in interventional radiology: a joint guideline of the Cardiovascular and Interventional Radiology Society of Europe and the Society of Interventional Radiology. Cardiovasc Intervent Radiol 33:230–239

    Article  PubMed  Google Scholar 

  13. Strauss KJ, Kaste SC (2006) ALARA in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients – a white paper executive summary. J Am Coll Radiol 3:686–688

    Article  PubMed  Google Scholar 

  14. Sheyn DD, Racadio JM, Ying J et al (2008) Efficacy of a radiation safety education initiative in reducing radiation exposure in the pediatric IR suite. Pediatr Radiol 38:669–674

    Article  PubMed  Google Scholar 

  15. Strauss KJ (2006) Pediatric interventional radiography equipment: safety considerations. Pediatr Radiol 36(Suppl 2):126–135

    Article  PubMed  Google Scholar 

  16. Miller DL, Balter S, Wagner LK et al (2009) Quality improvement guidelines for recording patient radiation dose in the medical record. J Vasc Interv Radiol 20(Suppl):S200–S207

    Article  PubMed  Google Scholar 

  17. Connolly B, Mahant S (2006) The pediatric hospitalist and interventional radiologist: a model for clinical care in pediatric interventional radiology. J Vasc Interv Radiol 17:1733–1738

    Article  PubMed  Google Scholar 

  18. Beach D, Swischuk JL, Smouse HB (2006) Using midlevel providers in interventional radiology. Semin Intervent Radiol 23:329–332

    Article  PubMed  Google Scholar 

  19. Rosenberg SM, Rosenthal DA, Rajan DK et al (2008) Position statement: the role of physician assistants in interventional radiology. J Vasc Interv Radiol 19:1685–1689

    Article  PubMed  Google Scholar 

  20. Hong K, Georgiades CS, Hebert J et al (2006) Incorporating physician assistants and physician extenders in the contemporary interventional oncology practice. Tech Vasc Interv Radiol 9:96–100

    Article  PubMed  Google Scholar 

  21. Davies L, Laasch HU, Wilbraham L et al (2004) The consent process in interventional radiology: the role of specialist nurses. Clin Radiol 59:246–252

    Article  PubMed  CAS  Google Scholar 

  22. Towbin AJ, Towbin RB (2004) Interventional radiology in the treatment of the complications of organ transplant in the pediatric population – part 2: the liver. Semin Intervent Radiol 21:321–333

    Article  PubMed  Google Scholar 

  23. Siskin GP, Bagla S, Sansivero GE et al (2004) The interventional radiology clinic: key ingredients for success. J Vasc Interv Radiol 15:681–688

    PubMed  Google Scholar 

  24. Swigert NB (2006) Clinical documentation, coding, and billing. Semin Speech Lang 27:101–118

    Article  PubMed  Google Scholar 

  25. Duszak R, Blackham WC, Kusiak GM et al (2004) CPT coding by interventional radiologists: a multi-institutional evaluation of accuracy and its economic implications. J Am Coll Radiol 1:734–740

    Article  PubMed  Google Scholar 

  26. DeParle NA (2000) From the Health Care Financing Administration. Evaluation and management services guideline. JAMA 283:3061

    Article  PubMed  CAS  Google Scholar 

  27. Manchikanti L (2000) Recent developments in evaluation and management services. Pain Phys 3:403–421

    CAS  Google Scholar 

  28. Khan N, Murphy TP, Soares GM et al (2005) Clinical services provided by interventional radiologists to Medicare beneficiaries in the United States, 2000–2003. J Vasc Interv Radiol 16:1753–1757

    PubMed  Google Scholar 

  29. Miller MD, Albritton TA, Rindt K (1999) Teaching medical documentation according to the HCFA guidelines. Acad Med 74:596

    Article  PubMed  CAS  Google Scholar 

  30. Society of Interventional Radiology (2007) SIR interventional radiology coding users’ guide. Society of Interventional Radiology, Fairfax

    Google Scholar 

  31. Georgiades CS, Hong K, Geschwind JF (2006) Pre- and postoperative clinical care of patients undergoing interventional oncology procedures: a comprehensive approach to preventing and mitigating complications. Tech Vasc Interv Radiol 9:113–124

    Article  PubMed  Google Scholar 

  32. Swischuk JL, Sacks D, Pentecost MJ et al (2004) Clinical practice of interventional and cardiovascular radiology: current status, guidelines for resource allocation, future directions. J Am Coll Radiol 1:720–727

    Article  PubMed  Google Scholar 

  33. Kinnison ML, White RI, Auster M et al (1985) Inpatient admissions for interventional radiology: philosophy of patient management. Radiology 154:349–351

    PubMed  CAS  Google Scholar 

  34. White RI Jr (1990) Status of admitting privileges for university-affiliated diagnostic radiology departments. Radiology 175:391–392

    PubMed  Google Scholar 

  35. Ring EJ, Kerlan RK Jr (1983) Clinical responsibility in interventional radiology. Radiology 147:285

    PubMed  CAS  Google Scholar 

  36. Baerlocher MO, Asch MR, Hayeems E et al (2006) The clinical interventional radiologist: results of a national survey by the Canadian Interventional Radiology Association. Can Assoc Radiol J 57:218–223

    PubMed  Google Scholar 

  37. Practice Guideline for Interventional Clinical Practice (2005) Collaborative statement from the American College of Radiology, the American Society of Interventional and Therapeutic Neuroradiology, and the Society of Interventional Radiology. J Vasc Interv Radiol 16:149–155

    Google Scholar 

  38. Kroll K, Murphy T, Chin KW (2007) Clinical practice, competition lead to financial health. ACR Bulletin 62

  39. Andersen PE (2007) Radiologic examination and endovascular treatment of acute upper gastrointestinal bleeding. Ugeskrift Laeger 169:591–593

    Google Scholar 

  40. Thornton K (2006) Postprocedure clinical management for the interventional radiologist. Tech Vasc Interv Radiol 9:106–112

    Article  PubMed  Google Scholar 

  41. Sidhu MK, James CA, Harned RK II et al (2007) Pediatric interventional radiology workforce survey summary. Pediatr Radiol 37:113–115

    Article  PubMed  Google Scholar 

  42. Rao VM, Levin DC (2005) Turf wars in radiology: the past, present, and future importance of training standards in imaging. J Am Coll Radiol 2:602–606

    Article  PubMed  Google Scholar 

  43. Lynch F (2004) The use of an interactive computerized daily schedule in a busy interventional radiology practice increases efficiency. J Am Coll Radiol 1:965–971

    Article  PubMed  Google Scholar 

  44. Strauss KJ (2006) Interventional suite and equipment management: cradle to grave. Pediatr Radiol 36(Suppl 2):221–236

    Article  PubMed  Google Scholar 

  45. Orenstein BW (2006) From the ground up. Radiol Today 7:54

    Google Scholar 

  46. Goske MJ, Applegate KE, Boylan J et al (2008) The image gently campaign: working together to change practice. AJR 190:273–274

    Article  PubMed  Google Scholar 

  47. Sidhu M, Goske MJ, Connolly B et al (2010) Image gently, step lightly: promoting radiation safety in pediatric interventional radiology. AJR 195:W299–W301

    Article  PubMed  Google Scholar 

  48. Chrisman HB, Basu PA, Omary RA (2006) The positive effect of targeted marketing on an existing uterine fibroid embolization practice. J Vasc Interv Radiol 17:577–581

    Article  PubMed  Google Scholar 

  49. Staunton M (2007) Evidence-based radiology: steps 1 and 2 – asking answerable questions and searching for evidence. Radiology 242:23–31

    Article  PubMed  Google Scholar 

  50. Maher MM, Hodnett PA, Kalra MK (2007) Evidence-based practice in radiology: steps 3 and 4 – appraise and apply interventional radiology literature. Radiology 242:658–670

    Article  PubMed  Google Scholar 

  51. Society of Interventional Radiology Standards of Practice Committee (2003) Guidelines for establishing a quality assurance program in vascular and interventional radiology. J Vasc Interv Radiol 14(Suppl):S203–S207

    Google Scholar 

  52. Berthold LD, Hoppe M, Konig H et al (1998) Mortality and morbidity conference in radiology. RoFo 169:585–589

    Article  PubMed  CAS  Google Scholar 

  53. Sridhar S, Duncan JR (2008) Strategies for choosing process improvement projects. J Vasc Interv Radiol 19:471–477

    Article  PubMed  Google Scholar 

  54. Duncan JR (2008) Strategies for improving safety and quality in interventional radiology. J Vasc Interv Radiol 19:3–7

    Article  PubMed  Google Scholar 

  55. Omary RA, Bettmann MA, Cardella JF et al (2003) Quality improvement guidelines for the reporting and archiving of interventional radiology procedures. J Vasc Interv Radiol 14(suppl):S293–S295

    PubMed  Google Scholar 

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Acknowledgments

Kevin M. Baskin, MD, authored the first draft of this document and served as topic leader during the subsequent revisions of the draft. Dr. Sanjoy Kundu, MD, served as chair of the SIR Standards of Practice Committee during the development of this document and contributed to its content. John F. Cardella, MD, is councilor of the SIR Standards Division. Other members of the Standards of Practice Committee and SIR who participated in the development of this clinical practice guideline are (listed alphabetically): Anne Marie Cahill, MD, and John Crowley, MD.

Author disclaimers

W.E.A.S. is a paid consultant for Boston Scientific (Natick, MA, USA), has research funded by Siemens (Forchheim, Germany) and serves on the Speaker’s Bureau for Atrium (Hudson, NH, USA). None of the other authors has identified a conflict of interest. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Army, Department of Defense or the United States Government.

SIR disclaimer

The clinical practice guidelines of the Society of Interventional Radiology attempt to define practice principles that generally should assist in producing high-quality medical care. These guidelines are voluntary and are not rules. A physician may deviate from these guidelines, as necessitated by the individual patient and available resources. These practice guidelines should not be deemed inclusive of all proper methods of care or exclusive of other methods of care that are reasonably directed toward the same result. Other sources of information may be used in conjunction with these principles to produce a process leading to high-quality medical care. The ultimate judgment regarding the conduct of any specific procedure or course of management must be made by the physician, who should consider all circumstances relevant to the individual clinical situation. Adherence to the SIR Quality Improvement Program will not assure a successful outcome in every situation. It is prudent to document the rationale for any deviation from the suggested practice guidelines in the department policies and procedure manual or in the patient’s medical record.

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Correspondence to Kevin M. Baskin.

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Editor’s note: This article is being published with permission and will appear concurrently in the Journal of Vascular and Interventional Radiology, volume 22(12), 2011. The articles are identical except for minor stylistic differences in keeping with each journal’s style. Either citation can be used when citing this article. Permission to reproduce this article can only be granted by the copyright holder, the Society of Interventional Radiology. To request permission to print this article in a journal, Web site, or other publication, please contact the SIR at dkatsarelis@sir.org.

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Baskin, K.M., Hogan, M.J., Sidhu, M.K. et al. Developing a clinical pediatric interventional practice: a joint clinical practice guideline from the Society of Interventional Radiology and the Society for Pediatric Radiology. Pediatr Radiol 41, 1600–1612 (2011). https://doi.org/10.1007/s00247-011-2247-4

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