Screening chest radiography: results from a Greek cross-sectional survey

Kamposioras, Konstantinos; Casazza, Giovanni; Mauri, Davide; Lakiotis, Velisarios; Cortinovis, Ivan; Xilomenos, Apostolos; Peponi, Christina; Golfinopoulos, Vassilis; Milousis, Athanasios; Kakaridis, Dimitrios; Zacharias, Georgios; Karathanasi, Ioanna; Ferentinos, Georgios; Proiskos, Anastasios
January 2006
BMC Public Health;2006, Vol. 6, p113
Academic Journal
Background: Public health authorities worldwide discourage the use of chest radiography as a screening modality, as the diagnostic performance of chest radiography does not justify its application for screening and may even be harmful, since people with false positive results may experience anxiety and concern. Despite the accumulated evidence, various reports suggest that primary care physicians throughout the world still prescribe chest radiography for screening. We therefore set out to index the use of chest radiography for screening purposes among the healthy adult population and to analyze its relationship with possible trigger factors. Methods: The study was designed as a cross-sectional survey. Five thousand four hundred and ninety-nine healthy adults, coming from 26 Greek provinces were surveyed for screening practice habits in the nationwide anticancer study. Data were obtained for the use of screening chest radiography. Impact of age, gender, tobacco exposure, family history positive for malignancies and professional-risk for lung diseases was further analyzed. Results: we found that 20% (n = 1099) of the surveyed individuals underwent chest radiography for screening purposes for at least one time during the previous three years. Among those, 24% do so with a frequency equal or higher than once yearly, and 48% with a frequency equal or higher than every three years. Screening for chest radiography was more commonly adopted among males (OR 1.130, 95% CI 0.988-1.292), pensioners (OR 1.319, CI 1.093-1.593) and individuals with a positive family history for lung cancer (OR 1.251, CI 0.988-1.583). Multivariate analysis confirmed these results. Conclusion: Despite formal recommendations, chest radiography for screening purposes was a common practice among the analyzed sample of Greek adults. This practice is of questionable value since the positive predictive value of chest radiography is low. The implementation of even a relatively inexpensive imaging study on a national scale would greatly burden health economics and the workload of radiology departments.


Related Articles

  • Is having quality as an item on the executive board agenda associated with the implementation of quality management systems in European hospitals: a quantitative analysis. Botje, Daan; Klazinga, N.S.; Suñol, R.; Groene, O.; Pfaff, H.; Mannion, R.; Depaigne-Loth, A.; Arah, O.A.; Dersarkissian, M.; Wagner, C. // International Journal for Quality in Health Care;Apr2014 Supplement, Vol. 26, p92 

    Objective To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and the implementation of quality management in European hospitals. Design A quantitative, mixed method, cross-sectional study in seven European...

  • Use of a single [123I]-FP-CIT SPECT to predict the severity of clinical symptoms of Parkinson disease. Djaldetti, Ruth; Treves, Therese A.; Ziv, Ilan; Melamed, Eldad; Lampl, Yair; Lorberboym, Mordechai // Neurological Sciences;Aug2009, Vol. 30 Issue 4, p301 

    The aim of this study was to assess the ability of a single SPECT performed in the early stage of Parkinson’s disease (PD) to predict disease severity in 19 patients with early PD. [123I]-FP-CIT striatal uptake was expressed as a ratio of specific:nonspecific uptake for defined brain...

  • The Value Of Health Care Information Exchange And Interoperability. Walker, Jan; Pan, Eric; Johnston, Douglas; Adler-Milstein, Julia; Bates, David W.; Middleton, Blackford // Health Affairs;Jan-Jun2005 Supplement Web Exclusiv, Vol. 24, p10 

    In this paper we assess the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical group practices) and independent laboratories, radiology centers, pharmacies, payers, public health departments, and other providers. We have...

  • A Práxis doAgente Comunitário de Saúde no Contexto do Programa Saúde da Família: reflexões estratégicas. de Oliveira Gomes, Karine; Cotta, Rosângela Minardi Mitre; Cherchiglia, Mariângela Leal; Mitre, Sandra Minardi; Batista, Rodrigo Siqueira // Saúde e Sociedade;out-dez2009, Vol. 18 Issue 4, p744 

    Pro grama Saúde da Família (PSF - Family Health Program) appeared in the Brazilian scenario as a strategy to overcome an assistance model that is centered on disease and on individualized medical care. In this context, the agentes comunitários de saúde (ACS - community health agents)...

  • Attraction, recruitment and distribution of health professionals in rural and remote Australia: early results of the Rural Health Professionals Program. Morell, Anna L.; Kiem, Sandra; Millsteed, Melanie A.; Pollice, Almerinda // Human Resources for Health;2014, Vol. 12 Issue 1, p1 

    Background Australians living in rural and remote communities experience relatively poor health status in comparison to the wider Australian population (Med J Aust 185:37-38, 2006). This can be attributed in part to issues of access to health services arising from difficulties in recruiting and...

  • Improving patient satisfaction by adding a physician in triage. Imperato, Jason; Morris, Darren S.; Sanchez, Leon D.; Setnik, Gary // Journal of Hospital Administration;Feb2014, Vol. 3 Issue 1, p7 

    Background: The physician in triage (PIT) model has been proposed as a process improvement to help increase efficiency in the Emergency Department setting. However, its effect on patient satisfaction has not been well established. Methods: An interventional study comparing patient satisfaction...

  • Symptomatology in Head and Neck Cancer: A Quantitative Review of 385 Cases. Kaufman, Soi.; Grabau, John C.; Loré Jr., John M. // American Journal of Public Health;May80, Vol. 70 Issue 5, p520 

    Abstract: Symptom durations in head and neck cancer patients analyzed as a function of tumor stage suggest a reversal of the "common sense" notion that patients with early disease generally present with a shorter symptomatic period. A possible explanation is that variation in stage at diagnosis...

  • A Comparison Study of the Injury Score Models. Dillon, Bernice; Wang, Wenbin; Bouamra, Omar // European Journal of Trauma;Dec2006, Vol. 32 Issue 6, p538 

    A central component to the statistical analysis of trauma care is the probability of survival model, which predicts outcome of the trauma event taking into account various anatomical and physiological factors. One of the key input information to the survival model is the injury score which forms...

  • A produção de conhecimento sobre HIV/AIDS no campo da teoria de representações sociais em 25 anos da epidemia. de Oliveira, Denize Cristina; Formozo, Gláucia Alexandre; Gomes, Antônio Marcos Tosoli; Acioli, Sônia; Marques, Sergio Corrêa; da Costa, Tadeu Lessa; Heringer, Ariádina // Revista Eletronica de Enfermagem;2007, Vol. 9 Issue 3, p821 

    This is a exploratory, descriptive and quantitative research. Its objective is to identify and to analyze the scientific production about social representations related to the HIV/AIDS, in dissertations, thesis and articles. The virtual databases searched were: CAPES, BIREME, USP and UFRJ, with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics