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Outcomes Following Omission of Daily Routine Chest Radiographs Following Pulmonary Resection

A Randomized Controlled Feasibility Study Looking at Differences in Hospital Stay Variables Following Omission of Daily Routine Chest Radiographs After Pulmonary Resection.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03704870
Enrollment
50
Registered
2018-10-15
Start date
2018-01-26
Completion date
2020-03-31
Last updated
2020-05-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

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

Brief summary

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.

Interventions

DIAGNOSTIC_TESTChest Xray

Daily chest xray

DIAGNOSTIC_TESTNo daily chest xray

Chest xray will be done post chest tube removal only

Sponsors

University Health Network, Toronto
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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.

Design outcomes

Primary

MeasureTime frameDescription
Number of total chest xrays performed per subject30 daysnumber of scheduled and additional chest xrays, and how does this correlate with post operative safety

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026