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Trends and patterns of computed tomography scan use among children in The Netherlands: 1990-2012.

Johanna M Meulepas ,
Anne M J B Smets ,
Rutger A J Nievelstein ,
Patrycja Gradowska ,
Jonathan Verbeke ,
Herma C Holscher ,
Matthieu J C M Rutten ,
Mariëtte Kieft ,
Cécile M Ronckers ,
Michael Hauptmann

Abstract

METHODS

Lists of electronically archived paediatric CT scans were requested from the Radiology Information Systems (RIS) of Dutch hospitals which reported >10 paediatric CT scans annually in a survey conducted in 2010. Data included patient identification, birth date, gender, scan date and body part scanned. For non-participating hospitals and for years prior to electronic archiving in some participating hospitals, data were imputed by calendar year and hospital type (academic, general with <500 beds, general with ≥ 500 beds).

CONCLUSION

The estimated number of paediatric CT scans has more than tripled in The Netherlands during the last two decades.

RESULTS

Based on 236,066 CT scans among 146,368 patients performed between 1990 and 2012, estimated annual numbers of paediatric CT scans in The Netherlands increased from 7,731 in 1990 to 26,023 in 2012. More than 70 % of all scans were of the head and neck. During the last decade, substantial increases of more than 5 % per year were observed in general hospitals with fewer than 500 beds and among children aged 10 years or older.

KEY POINTS

• Paediatric CT in The Netherlands has tripled during the last two decades. • The number of paediatric CTs increased through 2012 in general hospitals. • Paediatric CTs continued to increase among children aged 10 years or older.

OBJECTIVE

To evaluate trends and patterns in CT usage among children (aged 0-17 years) in The Netherlands during the period 1990-2012.

More about this publication

European radiology

Volume 27
Issue nr. 6
Pages 2426-2433
Publication date 01-06-2017

Full text links

Publisher website (DOI) 10.1007/s00330-016-4566-1
Europe PubMed Central 27709278
Pubmed 27709278

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