Najafi G, Lakshminarayan R, Haslam P, McCafferty I, Morgan R, Uberoi R, Hamady M
Department of Surgery and Cancer, Faculty of Medicine, Imperial College London SW7 2AZ, UK.
Department of Vascular Radiology, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Clin Radiol. 2024 Dec;79(12):e1481-e1489. doi: 10.1016/j.crad.2024.08.032. Epub 2024 Aug 31.
There is no comprehensive data collection outlining the numbers and types of interventional radiology (IR) procedures in the United Kingdom. Similarly, limited data are available on the IR facilities and workforce within the National Health Services (NHS) trusts. The purpose of this study is to evaluate the number/type of IR procedures, facilities, and workforces across England and Wales.
This retrospective study used the 2000 Freedom of Information Act to obtain information regarding the IR procedures performed in NHS trusts in England and Wales from 2017 to 2021. We collected additional information on IR workforce and facilities, including the number of IR consultants, nurses, trainees, and angiographic suites and day case units; analysed procedures by complexity; and performed data analysis by region.
A total of 1,340,352 IR procedures were analysed. An increasing trend was observed in the number of IR procedures from 2017 to 2021 (p=0.07, R=0.93). There were more intermediate and complex procedures than simple ones (p=0.0001). Notable geographical variation was observed in terms of IR facilities including angiographic suites and day case units, and the number of IR consultants, nurses, and trainees.
The IR field continues to grow as evidenced by increasing trends in the number and complexity of the procedures over the years. There is an uneven IR workforce, services, and facilities distribution across England and Wales. Therefore, there is a crucial need for centralised data collection to evaluate and monitor interventions besides comprehensive revision of UK IR service provision.
目前尚无全面的数据收集来概述英国介入放射学(IR)程序的数量和类型。同样,关于国民医疗服务体系(NHS)信托机构内的IR设施和工作人员的数据也很有限。本研究的目的是评估英格兰和威尔士的IR程序数量/类型、设施和工作人员情况。
这项回顾性研究利用2000年的《信息自由法》获取了2017年至2021年期间英格兰和威尔士NHS信托机构所执行的IR程序的相关信息。我们收集了关于IR工作人员和设施的额外信息,包括IR顾问、护士、实习生的数量以及血管造影套件和日间手术单元的数量;按复杂性对程序进行分析;并按地区进行数据分析。
共分析了1340352例IR程序。2017年至2021年期间,IR程序数量呈上升趋势(p = 0.07,R = 0.93)。中等复杂和复杂程序比简单程序更多(p = 0.0001)。在IR设施方面,包括血管造影套件和日间手术单元,以及IR顾问、护士和实习生的数量,观察到显著地理差异。
多年来,程序数量和复杂性的增长趋势表明IR领域持续发展。英格兰和威尔士的IR工作人员分布、服务和设施存在不均衡情况。因此,除了全面修订英国的IR服务提供外,迫切需要集中数据收集以评估和监测干预措施。