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: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
7 September 2022
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| 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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| 245 | 1 | 0 | |a Are routine chest X-rays necessary following thoracic surgery? |b a systematic literature review and meta-analysis |c 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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| 520 | |a (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. | ||
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