Glossary of Abbreviations:CXR (chest radiograph), CT (chest tube (thoracostomy tube))
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Disclosure Statement: This work was accepted for presentation at the AATS 103rd Annual Meeting in Los Angeles, CA. All authors report no conflicts of interest and have no relevant disclosures regarding the contents of this manuscript.
Funding Statement: No funding support was used in conducting this study.
Institutional Board Review Approval
This study was approved by the University of Cincinnati Medical Center Institutional Review Board; IRB#: 2013-5266, Date of Approval: 8/29/13
Central Message: Routine chest radiography following chest tube removal after lung resection rarely results management changes. A selective approach to obtaining chest imaging based on symptoms and/or signs is safe.
Perspectives Statement: The utility of routine chest x-rays following lung resection has been debated; however, no guidelines exist. We demonstrated that routine chest x-rays following chest tube removal and at post-operative follow-up rarely leads to management changes. A selective approach of ordering chest x-rays only in those with concerning symptoms/signs is safe and has the potential to lead to significant cost savings.