Ist die Röntgenthoraxaufnahme bei Neueinstellungen gerechtfertigt?

Ladd, Susanne C.; Krause, U.; Ladd, Mark E.

doi:10.1007/s00117-005-1241-y

Cited by 3 publications

(2 citation statements)

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“…They concluded that this practice is expensive and could also be in violation of European law. [ 7 ] Lohiya et al . [ 8 ] and Abuchi et al .…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 ] There has been a lot of discussion regarding the usefulness or the futility of routine chest radiographs as part of screening of prospective employees, with some studies concluding in favor[ 3 4 ] and others against such practice. [ 5 6 7 8 9 10 11 12 13 14 15 ] To our knowledge, there is no published data from India on this subject.…”

Section: Introductionmentioning

confidence: 99%

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The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

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Background and Objective:A routine chest radiograph is mandatory in many institutions as a part of pre-employment screening. The usefulness of this has been studied over the years keeping in mind the added time, cost, and radiation concerns. Studies conducted outside India have shown different results, some for and some against it. To our knowledge, there is no published data from India on this issue.Materials and Methods:A retrospective review of the reports of 4113 pre-employment chest radiographs done between 2007 and 2009 was conducted.Results:Out of 4113 radiographs, 24 (0.58%) candidates required further evaluation based on findings from the screening chest radiograph. Out of these, 7 (0.17%) candidates required appropriate further treatment.Interpretation and Conclusions:The percentage of significant abnormalities detected which needed further medical intervention was small (0.17%). Although the individual radiation exposure is very small, the large numbers done nation-wide would significantly add to the community radiation, with added significant cost and time implications. We believe that pre-employment chest radiographs should be restricted to candidates in whom there is relevant history and/or clinical findings suggestive of cardiopulmonary disease.

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“…They concluded that this practice is expensive and could also be in violation of European law. [ 7 ] Lohiya et al . [ 8 ] and Abuchi et al .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

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Health examination for preventing occupational injuries and disease in workers

Mahmud

Schönstein

Lehtola³

et al. 2008

Cochrane Database of Systematic Reviews

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Is routine pre-entry chest radiograph necessary in a high tuberculosis prevalence country?

Jasper

Gibikote

Kirupakaran

et al. 2020

Journal of Postgraduate Medicine

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Context: Chest radiographs have been used worldwide as a screening tool before employment and training, by various healthcare and other government and nongovernment institutions. Many studies done in the past have demonstrated a relatively low yield for tuberculosis detection and therefore, the authors have questioned this practice. Aims: To compare the value of the preadmission/employment chest radiograph in two groups, namely, those who have been previously exposed to a healthcare setting (post-exposure group) and those who have not been exposed (pre-exposure group) and to determine if there is a significant difference in tuberculosis detection between these two groups. Settings and Design: A retrospective review of the reports of the chest radiographs of all candidates appearing for admission to various undergraduate and postgraduate courses in our institute between 2014 and 2017 was performed. Materials and Methods: The various abnormalities detected were recorded and the findings in the two groups were compared. Statistical Analysis Used: Chi-square test was used to compare between two group proportions. Results: Thirty out of 4333 (0.69%) candidates in the pre-exposure group and 53 out of 3379 (1.57%) candidates in the post-exposure group showed abnormalities on chest radiographs involving the lung parenchyma, mediastinum, heart, or pleura. In the pre-exposure group, six (0.14%) were found to have underlying cardiac disease and one (0.02%) had tuberculosis. Among the six candidates in the post-exposure group who underwent further investigations in our institute, five (0.15%) were diagnosed to have tuberculosis. Although there was no statistically significant difference in tuberculosis detection between the groups (P = 0.051), there is a trend towards higher detection of tuberculosis in the post-exposure group. Conclusions: In a country where the prevalence of tuberculosis is high, the pre-employment chest radiograph may still have a role in detecting tuberculosis in the post-exposure group.

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Ist die Röntgenthoraxaufnahme bei Neueinstellungen gerechtfertigt?

Abstract: The performance of chest radiography as part of a PEE is most often not justified. The practice is expensive, can violate national and European law, and lacks medical justification.

Cited by 3 publications

References 19 publications

The routine pre-employment screening chest radiograph: Should it be routine?

The routine pre-employment screening chest radiograph: Should it be routine?

Health examination for preventing occupational injuries and disease in workers

Is routine pre-entry chest radiograph necessary in a high tuberculosis prevalence country?

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