Foust Alexandra, Johnston Patrick R, Kasznia-Brown Joanna, Chu Winnie C, Garcia-Pena Pilar, Daltro Pedro, Das Karuna M, Plut Domen, Kilborn Tracy, Winant Abbey J, Lee Edward Y
Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, United States of America (A.F., P.R.J., A.J.W., E.Y.L.); Department of Radiology, University of Bristol, Bristol, United Kingdom (J.K.); Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China (W.C.C.); Department of Pediatric Radiology, University Hospital Materno-Infantil Vall d'Heborn, Barcelona, Spain (P.G.); Alta Exelencia Diagnostica and Department of Radiology, Clinica Diagnostico por Imagem (CDPI), Rio De Janeiro, Brazil (P.D.); Department of Radiology, College of Medicine and Health Sciences, Al Ain, United Arab Emirates (K.M.D.); Department of Pediatric Radiology, Clinical Radiology Institute, University Medical Center Ljubljana, Ljubljana, Slovenia (D.P.); Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa (T.K.).
Radiol Cardiothorac Imaging. 2020 Sep 17;2(5):e200422. doi: 10.1148/ryct.2020200422. eCollection 2020 Oct.
To investigate how COVID-19 has impacted pediatric radiology practice around the world at the present time.
This study was based on a survey conducted by the World Federation of Pediatric Imaging (WFPI) COVID-19 task force. Pediatric radiology representatives from countries around the world were identified and asked to complete an electronic survey consisting of 17 questions related to the impact of, concerns surrounding, and education related to COVID-19 on pediatric radiology. For each outcome variable, a pair of 2-way frequency tables was constructed: one against COVID-19 prevalence, and another against region. Tests of independence of the tables' row and column factors were performed based on Fisher's exact test and odds ratios (OR) were estimated via logistic regression models corresponding to these 2-way tables.
The survey (response rate 87%, 72/83) comprised representatives from 71 countries and Hong Kong across 6 continents. 66/72 respondents (92%) indicated that COVID-19 has resulted in moderate (21/72, 29%), significant (36/72, 50%), or complete (9/72, 13%) change in radiology departments/practices in their countries. The two most frequent concerns over the next four months were personal/family health (54/72, 75%) and exposure (48/72, 67%). 79% (57/72) of respondents indicated some level of discomfort in identifying pediatric COVID-19 imaging manifestations. Changes in resident education were reported by 68/72 (94%) respondents, and 22/72 (31%) were concerned that the likelihood of current trainees pursuing a career in pediatric radiology will be impacted.
COVID-19 has had a substantial negative impact on pediatric radiology practice around the world.
调查目前新冠病毒病（COVID-19）如何影响全球儿科放射学实践。
本研究基于世界儿科影像联合会（WFPI）COVID-19特别工作组进行的一项调查。确定了来自世界各国的儿科放射学代表，并要求他们完成一项电子调查，该调查由17个问题组成，涉及COVID-19对儿科放射学的影响、相关担忧以及教育情况。对于每个结果变量，构建了一对双向频率表：一个针对COVID-19流行情况，另一个针对地区。基于费舍尔精确检验对表格的行因素和列因素进行独立性检验，并通过与这些双向表对应的逻辑回归模型估计优势比（OR）。
该调查（回复率87%，72/83）包括来自六大洲71个国家和中国香港的代表。66/72名受访者（92%）表示，COVID-19已导致其所在国家的放射科/放射学实践发生中度（21/72，29%）、显著（36/72，50%）或完全（9/72，13%）的变化。未来四个月最常见的两个担忧是个人/家庭健康（54/72，75%）和暴露风险（48/72，67%）。79%（57/72）的受访者表示在识别儿科COVID-19影像学表现方面存在一定程度的不适。68/72名（94%）受访者报告了住院医师教育的变化，22/72名（31%）受访者担心当前受训人员从事儿科放射学职业的可能性会受到影响。
COVID-19对全球儿科放射学实践产生了重大负面影响。
