dc.contributor.author | Mauri, D. | en |
dc.contributor.author | Kamposioras, K. | en |
dc.contributor.author | Proiskos, A. | en |
dc.contributor.author | Xilomenos, A. | en |
dc.contributor.author | Peponi, C. | en |
dc.contributor.author | Dambrosio, M. | en |
dc.contributor.author | Zacharias, G. | en |
dc.contributor.author | Koukourakis, G. | en |
dc.contributor.author | Pentheroudakis, George | en |
dc.contributor.author | Pavlidis, Nicholas | en |
dc.creator | Mauri, D. | en |
dc.creator | Kamposioras, K. | en |
dc.creator | Proiskos, A. | en |
dc.creator | Xilomenos, A. | en |
dc.creator | Peponi, C. | en |
dc.creator | Dambrosio, M. | en |
dc.creator | Zacharias, G. | en |
dc.creator | Koukourakis, G. | en |
dc.creator | Pentheroudakis, George | en |
dc.creator | Pavlidis, Nicholas | en |
dc.date.accessioned | 2018-06-22T09:54:00Z | |
dc.date.available | 2018-06-22T09:54:00Z | |
dc.date.issued | 2006 | |
dc.identifier.uri | https://gnosis.library.ucy.ac.cy/handle/7/42144 | |
dc.description.abstract | Objective: To assess whether the use of chest radiography for screening changes over time. Design: Systematic review. Data Sources: MEDLINE, ISI, Cochrane Central Register of Controlled Trials, and handsearching of selected journals. Review Methods: We evaluated whether the proportion of primary care physicians using chest radiography to screen for (1) malignancy in the general asymptomatic population, (2) malignancy in a high-risk subgroup, (3) any disease in the general population, and (4) any disease in a high-risk subgroup changed over time, using random-effects meta-regression analysis. Adjustments for the availability of national guidelines were also performed. Results: Overall, 10% to 90% of primary care physicians reported using chest x-ray for screening. In unadjusted analyses, the proportion of physicians using chest radiography for cancer screening in the general population tended to increase by 0.9% per year (8 studies, n = 4313). The corresponding annual changes were -2.9% for cancer screening in high-risk subgroups (8 studies, n = 2784) and -0.4% regarding screening for any disease in the population (7 studies, n = 2627). No meta-regressions were run for outcome (4) (only 1 study). In the adjusted analyses, there was a decreasing nonsignificant trend for all outcomes. Conclusions: Despite formal recommendations, many physicians still use chest x-ray for screening, with their number decreasing slowly over time. This practice may be harmful because the positive predictive value of chest radiography is low, and further evaluation of false-positive findings might be associated with increased cost and risk from additional diagnostic or therapeutic interventions. | en |
dc.language.iso | eng | en |
dc.source | American Journal of Managed Care | en |
dc.subject | Cancer | en |
dc.subject | Human | en |
dc.subject | Humans | en |
dc.subject | Predictive value of tests | en |
dc.subject | Priority journal | en |
dc.subject | Clinical trial | en |
dc.subject | Review | en |
dc.subject | Systematic review | en |
dc.subject | Clinical practice | en |
dc.subject | Meta analysis | en |
dc.subject | Risk assessment | en |
dc.subject | High risk population | en |
dc.subject | Thorax radiography | en |
dc.subject | Diagnostic value | en |
dc.subject | False positive result | en |
dc.subject | Health care cost | en |
dc.subject | Mass screening | en |
dc.subject | Physician's practice patterns | en |
dc.subject | Predictive validity | en |
dc.subject | Primary health care | en |
dc.subject | Radiography | en |
dc.subject | Screening | en |
dc.subject | Thoracic | en |
dc.title | Old habits die hard: Chest radiography for screening purposes in primary care | en |
dc.type | info:eu-repo/semantics/article | |
dc.description.volume | 12 | |
dc.description.issue | 11 | |
dc.description.startingpage | 650 | |
dc.description.endingpage | 656 | |
dc.author.faculty | Ιατρική Σχολή / Medical School | |
dc.author.department | Ιατρική Σχολή / Medical School | |
dc.type.uhtype | Article | en |
dc.contributor.orcid | Pavlidis, Nicholas [0000-0002-2195-9961] | |
dc.contributor.orcid | Pentheroudakis, George [0000-0002-6632-2462] | |
dc.gnosis.orcid | 0000-0002-2195-9961 | |
dc.gnosis.orcid | 0000-0002-6632-2462 | |