Kamiński Mikołaj, Kaczmarek Ada, Wieczorek Tobiasz, Kierzek Michalina, Kręgielska-Narożna Matylda, Bogdański Paweł
Department of the Treatment of Obesity and Metabolic Disorders and Clinical Dietetics, Poznań University of Medical Sciences, Poznań, Poland.
Student Scientific Club of Clinical Dietetics, Department of the Treatment of Obesity and Metabolic Disorders and Clinical Dietetics, Poznań University of Medical Sciences, Poznań, Poland.
Pol J Radiol. 2023 Oct 13;88:e467-e471. doi: 10.5114/pjr.2023.132171. eCollection 2023.
The rise in morbid obesity presents diagnostic challenges in computed tomography (CT), magnetic resonance imaging (MRI), and endoscopy. Research on the availability of these procedures for people with extreme obesity is limited. We aimed to analyse the accessibility of CT, MRI, and endoscopy procedures for people with extreme obesity in a significant sample of facilities serving in the Polish public healthcare system.
A telephone-based survey was conducted on healthcare facilities offering CT, MRI, or endoscopy procedures, identified using the Polish National Health Fund (NFZ) API. A refined questionnaire was utilized after a pilot study to collect details on the equipment's weight and diameter capacities, among other parameters. Of the initial 312 facilities sampled, 195 were eligible and successfully contacted, representing 9.4% of the facilities offering the procedures in the NFZ database.
Of the 195 facilities, 86.4% of CT departments knew their scanner's maximum weight, 57.6% its diameter; 76.5% of MRI departments recognized their scanner's weight, and 59.2% its diameter, while 77.3% of endoscopy departments were aware of their maximum weight capacity. Approximately 28% of CT, 5% of MRI, and 39% of endoscopy departments could perform the procedure if the patient's weight was over 200 kg. Facilities knowledgeable about CT's maximum diameter and MRI's maximum weight often provided private CT/MRI services.
A significant proportion of Polish facilities providing CT, MRI, and endoscopic examinations in the Polish public healthcare system were unaware of their equipment's weight and diameter limits. Merely 5% of the surveyed MRI facilities could potentially accommodate a patient weighing over 200 kg.
病态肥胖率的上升给计算机断层扫描（CT）、磁共振成像（MRI）和内窥镜检查带来了诊断挑战。关于这些检查程序对极度肥胖者的可及性研究有限。我们旨在分析在波兰公共医疗系统中提供服务的大量设施样本中，CT、MRI和内窥镜检查程序对极度肥胖者的可及性。
使用波兰国家卫生基金（NFZ）应用程序编程接口（API）识别提供CT、MRI或内窥镜检查程序的医疗机构，并通过电话进行调查。在试点研究后使用经过完善的问卷收集设备重量和直径容量等参数的详细信息。在最初抽取的312家设施样本中，195家符合条件并成功联系，占NFZ数据库中提供这些检查程序设施的9.4%。
在195家设施中，86.4%的CT科室知道其扫描仪的最大重量，57.6%知道其直径；76.5%的MRI科室知道其扫描仪的重量，59.2%知道其直径，而77.3%的内窥镜科室知道其最大重量容量。如果患者体重超过200千克，约28%的CT科室、5%的MRI科室和39%的内窥镜科室可以进行该检查。了解CT最大直径和MRI最大重量的设施通常提供私人CT/MRI服务。
在波兰公共医疗系统中，很大一部分提供CT、MRI和内窥镜检查的波兰设施不知道其设备的重量和直径限制。在接受调查的MRI设施中，只有5%有可能容纳体重超过200千克的患者。
