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May 29, 1976BMJOpen Access

Routine preoperative chest radiography in non-cardiopulmonary surgery.

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Key result

Routine preoperative chest radiography in non-cardiopulmonary surgery yielded no appreciable abnormalities in patients under 30, indicating considerable overuse and unnecessary radiation exposure.

Why the study?

Does routine preoperative chest radiography provide significant diagnostic yield in patients undergoing elective non-cardiopulmonary surgery?

Population

667 consecutive patients undergoing elective non-cardiopulmonary surgery

Design

Cohort

Authors

ARAlum ReesHarefield HospitalCRC J RobertsSmith InstituteABA. S. BlighUniversity Hospital of Wales

Discussion

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Implication

May support avoiding routine preoperative chest radiography in patients under 30; leaves open prospective outcome validation.

Study Design

Type

Observational (n=667)

Multicenter

No

Structured PICO

Does routine preoperative chest radiography provide significant diagnostic yield in patients undergoing elective non-cardiopulmonary surgery?

P
Population
667 consecutive patients undergoing elective non-cardiopulmonary surgery at a single hospital in Wales.
E
Exposure
Routine preoperative chest radiography
O
Outcome
Significant findings on chest radiography and radiation exposuresurrogate

Routine preoperative chest radiography in non-cardiopulmonary surgery is overused, particularly in patients under 30 where no abnormalities were found, leading to unnecessary radiation exposure.

Cite This Study

Rees et al. (1976) conducted an observational in Elective non-cardiopulmonary surgery (n=667). Routine preoperative chest radiography was evaluated on Significant findings on preoperative radiography. Routine preoperative chest radiography in non-cardiopulmonary surgery yielded no appreciable abnormalities in patients under 30, indicating considerable overuse and unnecessary radiation exposure.

synapsesocial.com/papers/6a650c7cdfe9f9fc9bef41dfhttps://doi.org/10.1136/bmj.1.6021.1333
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Also Consider

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  1. 1Evaluation of Pre‐Operative Chest X‐Ray1987 · 4 citations
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  4. 4Usefulness of routine pre-operative chest radiography for anaesthetic management: a prospective multicentre pilot study1999 · 12 citations
  5. 5Should We Routinely Take Chest X‐Rays Before Surgery? A Systematic Scoping Review of Clinical Recommendations Using the Appraisal of Guidelines for Research and Evaluation–Recommendations Excellence (AGREE‐REX) Instrument2025