Outcomes Following Omission of Daily Routine Chest Radiographs Following Pulmonary Resection

University Health Network, Toronto50 enrolled

Overview

Currently, it is the standard of care practice to perform daily routine CXR when a chest tube is in situ following pulmonary resection. However, previous research as well as experience of thoracic surgeons suggested this kind of management has poor diagnostic and therapeutic value. Eliminating daily routine CXR for adult patients having undergone pulmonary surgery might decrease the frequency of radiation exposure and hospitalization costs per patient without increasing reintervention rates, length of hospital stays, readmission rates or any adverse events.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Lung Cancer Lung Diseases Lung Cancer, Nonsmall Cell Surgery Lung Adenocarcinoma

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult males or females who plan to receive VATS pulmonary resections confined to lobectomies, segmentectomies and wedge resections. * Willingness to adhere to randomized treatment. * Ability to answer self- and interviewer- administered questions in English * Understand and sign a written informed consent form in English Exclusion Criteria: * Previous thoracic surgery history in the same side. * Exploration, biopsy, lung volume reduction surgeries (LVRS), bilobectomies, sleeve resections or pneumonectomies performed.

Outcomes

Primary Outcomes

Number of total chest xrays performed per subject

number of scheduled and additional chest xrays, and how does this correlate with post operative safety

Time frame: 30 days