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Are routine chest X-rays necessary following thoracic surgery?: a systematic literature review and meta-analysis

(1) Background: The number of chest X-rays that are performed in the perioperative window of thoracic surgery varies. Many clinics X-ray patients daily, while others only perform X-rays if there are clinical concerns. The purpose of this study was to assess the evidence of perioperative X-rays follo...

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Main Authors: Galata, Christian (Author) , Cascant Ortolano, Lorena (Author) , Shafiei, Saeed (Author) , Hetjens, Svetlana (Author) , Müller, Lukas (Author) , Stauber, Roland H. (Author) , Stamenovic, Davor (Author) , Roessner, Eric D. (Author) , Karampinis, Ioannis (Author)
Format: Article (Journal)
Language:English
Published: 7 September 2022
In: Cancers
Year: 2022, Volume: 14, Issue: 18, Pages: 1-9
ISSN:2072-6694
DOI:10.3390/cancers14184361
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/cancers14184361
Verlag, kostenfrei, Volltext: https://www.mdpi.com/2072-6694/14/18/4361
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Author Notes:Christian Galata, Lorena Cascant Ortolano, Saeed Shafiei, Svetlana Hetjens, Lukas Müller, Roland H. Stauber, Davor Stamenovic, Eric D. Roessner and Ioannis Karampinis
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Summary:(1) Background: The number of chest X-rays that are performed in the perioperative window of thoracic surgery varies. Many clinics X-ray patients daily, while others only perform X-rays if there are clinical concerns. The purpose of this study was to assess the evidence of perioperative X-rays following thoracic surgery and estimate the clinical value with regard to changes in patient care. (2) Methods: A systematic literature research was conducted up until November 2021. Studies reporting X-ray outcomes in adult patients undergoing general thoracic surgery were included. (3) Results: In total, 11 studies (3841 patients/4784 X-rays) were included. The X-ray resulted in changes in patient care in 488 cases (10.74%). In patients undergoing mediastinoscopic lymphadenectomy or thoracoscopic sympathectomy, postoperative X-ray never led to changes in patient care. (4) Conclusions: There are no data to recommend an X-ray before surgery or to recommend daily X-rays. X-rays immediately after surgery seem to rarely have any consequences. It is probably reasonable to keep requesting X-rays after drain removal since they serve multiple purposes and alter patient care in 7.30% of the cases.
Item Description:Dieser Artikel gehört zum Special issue: Advances in lung cancer therapy
Gesehen am 25.09.2023
Physical Description:Online Resource
ISSN:2072-6694
DOI:10.3390/cancers14184361

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