AI Article Synopsis
- The study examines the variability in chest X-ray practices during the perioperative period for thoracic surgeries and aims to evaluate their impact on patient care.
- A systematic review included 11 studies with a total of 3,841 patients, showing that X-rays changed clinical management in 10.74% of cases, while specific procedures like mediastinoscopic lymphadenectomy showed no benefit from postoperative imaging.
- The findings suggest there is insufficient evidence to support routine pre-surgery or daily X-rays, and although immediate postoperative X-rays rarely influence care, they may still be valuable after drain removal in some cases.
Article Abstract
(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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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9496662 | PMC |
| http://dx.doi.org/10.3390/cancers14184361 | DOI Listing |
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