État des lieux de la pratique de la radiologie interventionnelle en Afrique subsaharienne francophone
DOI:
https://doi.org/10.55715/jaim.v12i2.100Keywords:
Interventional radiology, Sub-saharan Africa, French-speaking countries.Abstract
Objective : To describe the state of the ractice of interventional radiology (IR) in sub-Saharan Africa French-speaking countries.
Methods: Descriptive cross-sectional study conducted from 1 May to 31 August 2017. A self-administered questionnaire was addressed by email and by direct contact to radiologists practicing in French-speaking sub-Saharan Africa. The socio-demographic profile of the respondents, the equipment available and the interventional radiology procedures practiced were filled in.
Results: The response rate was 27% for 92 radiologists. The average age of respondents was 36.93±6.16 years. There was a male predominance (sex ratio=2.14). Five radiologists (5%) had a university degree in IR and 46 (50%) had undergone continuing medical education in interventional radiology. The most available imaging modality was ultrasound (99%). Only 4% of the radiologists had an angiography room. Of the 67(73%) respondents performing IR procedures, 29(43%) of the procedures were diagnostic, 2(3%) therapeutic and 36(54%) both. The most common IR procedures were percutaneous sampling (67%) for diagnostic procedures, evacuation of collections and abscesses (41%) and osteoarticular therapeutic procedures (14%). All performed non-vascular procedures and only 09 (13%) performed vascular procedures.
Conclusion: Interventional radiology in sub-Saharan Africa french speaking countries remains embryonic. It is necessary to strengthen training policies and improve technical platforms.
RESUME
Objectif : Décrire l’état des lieux de la pratique de la radiologie interventionnelle (RI) en Afrique subsaharienne francophone.
Méthodes : Etude transversale descriptive menée du 1er mai au 31 août 2017. Un questionnaire auto-administré a été adressé par mail et par contact direct à des radiologues exerçant en Afrique subsaharienne francophone. Le profil sociodémographique des enquêtés, les équipements disponibles et les actes de radiologies interventionnels pratiqués ont été renseignés.
Résultats : Le taux de réponse était de 27% soit 92 radiologues. L’âge moyen des répondants était de 36,93±6,16 ans. Il y avait une prédominance masculine (sex-ratio=2,14). Cinq radiologues (5%) avaient un diplôme universitaire de RI et 46 (50%) avaient suivi une formation médicale continue en radiologie interventionnelle. Le moyen d’imagerie le plus disponible était l’échographie (99%). Seulement 4% des radiologues disposaient d’une salle d’angiographie. Sur 73% (67) des enquêtés réalisant des actes de RI, 43%(29) des actes étaient à visée diagnostique, 3%(2) thérapeutiques et 54%(36) les deux. Les actes de RI les plus pratiqués étaient les prélèvements percutanés (67%) pour les actes à visée diagnostiques, des évacuations de collections et d’abcès (41%) et des gestes thérapeutiques ostéo articulaires (14%). Tous pratiquaient des actes non vasculaires et seulement 09 (13%) des actes vasculaires.
Conclusion : La RI en Afrique subsaharienne francophone reste embryonnaire. Un renforcement des politiques de formation et l’amélioration du plateau technique sont nécessaires.
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