Association of occupational direct radiation exposure to the hands with longitudinal melanonychia and hand eczema in spine surgeons: a survey by the society for minimally invasive spinal treatment (MIST).
Chronic radiation dermatitis
Hand eczema
Ionizing radiation
Longitudinal melanonychia
Occupational radiation exposure
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
19
05
2021
accepted:
18
08
2021
revised:
19
05
2021
pubmed:
25
8
2021
medline:
1
2
2022
entrez:
24
8
2021
Statut:
ppublish
Résumé
To investigate the association between occupational direct radiation exposure to the hands and longitudinal melanonychia (LM) and hand eczema in spine surgeons. A web-based questionnaire survey of the Society for Minimally Invasive Spinal Treatment (MIST) in Japan was conducted. The proportion of LM and hand eczema in hands with high and low-radiation exposure was compared using Fisher's exact test. The odds ratios (ORs) and their 95% confidence intervals (CIs) for the prevalence of LM and hand eczema in the high-radiation exposure hands were calculated using generalized estimating equations for logistic regression as control for the correlation of observations among the same individuals and possible confounders. Among 324 members of the society, responses were received from 229 members (70.7%). A total of 454 hands from 227 participants were analysed. The prevalence of LM and hand eczema was 43% and 29%, respectively. In a hand-by-hand comparison, more hands had LM in the high-radiation exposure group than the low-radiation exposure group (90 [40%] vs. 39 [17%], respectively, p < 0.001). A similar trend was observed for hand eczema (63 [28%] vs. 33 [15%], respectively, p = 0.001). The adjusted OR for high-radiation exposure hands was 3.18 (95% CI: 2.24-4.52). Consistent results were obtained for hand eczema, with an adjusted OR of 2.26 (95% CI: 1.67-3.06). The present study suggests that direct radiation exposure to physician's hands is associated with LM and hand eczema. Those with LM and radially biased hand eczema may have had high direct radiation exposure.
Identifiants
pubmed: 34427761
doi: 10.1007/s00586-021-06973-3
pii: 10.1007/s00586-021-06973-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3702-3708Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Ozgur BM, Aryan HE, Pimenta L, Taylor WR (2006) Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6:435–443
doi: 10.1016/j.spinee.2005.08.012
Silvestre C, Mac-Thiong JM, Hilmi R, Roussouly P (2012) Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J 6:89–97. https://doi.org/10.4184/asj.2012.6.2.89
doi: 10.4184/asj.2012.6.2.89
pubmed: 22708012
pmcid: 22708012
Lowery GL, Kulkarni SS (2000) Posterior percutaneous spine instrumentation. Eur Spine J 9(Suppl 1):S126–S130. https://doi.org/10.1007/PL00008318
doi: 10.1007/PL00008318
pubmed: 10766069
pmcid: 3611442
Gausden EB, Christ AB, Zeldin R, Lane JM, McCarthy MM (2017) Tracking cumulative radiation exposure in orthopaedic surgeons and residents: What dose are we getting? J Bone Joint Surg Am 99:1324–1329. https://doi.org/10.2106/JBJS.16.01557
doi: 10.2106/JBJS.16.01557
pubmed: 28763418
Ozasa K, Shimizu Y, Suyama A, Kasagi F, Soda M, Grant EJ, Sakata R, Sugiyama H, Kodama K (2012) Studies of the mortality of atomic bomb survivors, report 14, 1950–2003: an overview of cancer and noncancer diseases. Radiat Res 177:229–243. https://doi.org/10.1667/rr2629.1
doi: 10.1667/rr2629.1
pubmed: 22171960
Funao H, Ishii K, Momoshima S, Iwanami A, Hosogane N, Watanabe K, Nakamura M, Toyama Y, Matsumoto M (2014) Surgeons’ exposure to radiation in single- and multi-level minimally invasive transforaminal lumbar interbody fusion; a prospective study. PLoS ONE 9:e95233. https://doi.org/10.1371/journal.pone.0095233
doi: 10.1371/journal.pone.0095233
pubmed: 24736321
pmcid: 3988176
Little MP, Kitahara CM, Cahoon EK, Bernier MO, Velazquez-Kronen R, Doody MM, Borrego D, Miller JS, Alexander BH, Simon SL, Preston DL, Hamada N, Linet MS, Meyer C (2018) Occupational radiation exposure and risk of cataract incidence in a cohort of US radiologic technologists. Eur J Epidemiol 33:1179–1191. https://doi.org/10.1007/s10654-018-0435-3
doi: 10.1007/s10654-018-0435-3
pubmed: 30151727
Andreassi MG, Piccaluga E, Guagliumi G, Del Greco M, Gaita F, Picano E (2016) Occupational health risks in cardiac catheterization laboratory workers. Circ Cardiovasc Interv 9:e003273. https://doi.org/10.1161/CIRCINTERVENTIONS.115.003273
doi: 10.1161/CIRCINTERVENTIONS.115.003273
pubmed: 27072525
Chen TY, Hsu CC, Feng IJ, Wang JJ, Su SB, Guo HR, Huang CC, Lin HJ (2017) Higher risk for thyroid diseases in physicians than in the general population: a Taiwan nationwide population-based secondary analysis study. QJM 110:163–168. https://doi.org/10.1093/qjmed/hcw140
doi: 10.1093/qjmed/hcw140
pubmed: 27521582
Yoshinaga S, Mabuchi K, Sigurdson AJ, Doody MM, Ron E (2004) Cancer risks among radiologists and radiologic technologists: review of epidemiologic studies. Radiology 233:313–321. https://doi.org/10.1148/radiol.2332031119
doi: 10.1148/radiol.2332031119
pubmed: 15375227
Sont WN, Zielinski JM, Ashmore JP, Jiang H, Krewski D, Fair ME, Band PR, Létourneau EG (2001) First analysis of cancer incidence and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 153:309–318. https://doi.org/10.1093/aje/153.4.309
doi: 10.1093/aje/153.4.309
pubmed: 11207146
Ansai S, Noro S, Ogita A, Fukumoto H, Katano H, Kawana S (2015) Case of Merkel cell carcinoma with squamous cell carcinoma possibly arising in chronic radiodermatitis of the hand. J Dermatol 42:207–209. https://doi.org/10.1111/1346-8138.12737
doi: 10.1111/1346-8138.12737
pubmed: 25510284
Benmoussa N, Mignon F, Conan P, Charlier P (2018) A physician’s hand tumour induced by the first X-ray procedures. Lancet Oncol 19:1158. https://doi.org/10.1016/S1470-2045(18)30595-3
doi: 10.1016/S1470-2045(18)30595-3
pubmed: 30191839
Fink CA, Bates MN (2005) Melanoma and ionizing radiation: Is there a causal relationship? Radiat Res 164:701–710. https://doi.org/10.1667/rr3447.1
doi: 10.1667/rr3447.1
pubmed: 16238450
Stahl CM, Meisinger QC, Andre MP, Kinney TB, Newton IG (2016) Radiation risk to the fluoroscopy operator and staff. AJR Am J Roentgenol 207:737–744. https://doi.org/10.2214/AJR.16.16555
doi: 10.2214/AJR.16.16555
pubmed: 28829623
Ward JF (1995) Radiation mutagenesis: the initial DNA lesions responsible. Radiat Res 142:362–368
doi: 10.2307/3579145
Adigun CG, Scher RK (2012) Longitudinal melanonychia: When to biopsy and is dermoscopy helpful? Dermatol Ther 25:491–497. https://doi.org/10.1111/j.1529-8019.2012.01554.x
doi: 10.1111/j.1529-8019.2012.01554.x
pubmed: 23210748
Ko D, Oromendia C, Scher R, Lipner SR (2019) Retrospective single-center study evaluating clinical and dermoscopic features of longitudinal melanonychia, ABCDEF criteria, and risk of malignancy. J Am Acad Dermatol 80:1272–1283. https://doi.org/10.1016/j.jaad.2018.08.033
doi: 10.1016/j.jaad.2018.08.033
pubmed: 30765143
Baumert BG, Wodarski C, Klein C, Wendt T (2015) Transverse melanonychia (TM): induced by radiotherapy. Radiother Oncol 114:282–283. https://doi.org/10.1016/j.radonc.2014.12.014
doi: 10.1016/j.radonc.2014.12.014
pubmed: 25624110
Frazier TH, Richardson JB, Fabré VC, Callen JP (2007) Fluoroscopy-induced chronic radiation skin injury: a disease perhaps often overlooked. Arch Dermatol 143:637–640. https://doi.org/10.1001/archderm.143.5.637
doi: 10.1001/archderm.143.5.637
pubmed: 17515515
Koenig TR, Wolff D, Mettler FA, Wagner LK (2001) Skin injuries from fluoroscopically guided procedures: part 1, characteristics of radiation injury. AJR Am J Roentgenol 177(1):3–11. https://doi.org/10.2214/ajr.177.1.1770003
doi: 10.2214/ajr.177.1.1770003
pubmed: 11418388
Koenig TR, Mettler FA, Wagner LK (2001) Skin injuries from fluoroscopically guided procedures: part 2, review of 73 cases and recommendations for minimizing dose delivered to patient. AJR Am J Roentgenol 177:13–20. https://doi.org/10.2214/ajr.177.1.1770013
doi: 10.2214/ajr.177.1.1770013
pubmed: 11418390
Spiker A, Zinn Z, Carter WH, Powers R, Kovach R (2012) Fluoroscopy-induced chronic radiation dermatitis. Am J Cardiol 110:1861–1863. https://doi.org/10.1016/j.amjcard.2012.08.023
doi: 10.1016/j.amjcard.2012.08.023
pubmed: 22980965
Cohen S, Liu A, Gurvitz M, Guo L, Therrien J, Laprise C, Kaufman JS, Abrahamowicz M, Marelli AJ (2018) Exposure to low-dose ionizing radiation from cardiac procedures and malignancy risk in adults with congenital heart disease. Circulation 137:1334–1345. https://doi.org/10.1161/CIRCULATIONAHA.117.029138
doi: 10.1161/CIRCULATIONAHA.117.029138
pubmed: 29269389
Wagner LK, Eifel PJ, Geise RA (1994) Potential biological effects following high X-ray dose interventional procedures. J Vasc Interv Radiol 5:71–84. https://doi.org/10.1016/s1051-0443(94)71456-1
doi: 10.1016/s1051-0443(94)71456-1
pubmed: 8136601