[Are chest radiographs justified in pre-employment examinations? Presentation of legal position and medical evidence based on 1760 cases]. / Ist die Röntgenthoraxaufnahme bei Neueinstellungen gerechtfertigt? Darstellung von Rechtslage und medizinischer Evidenz in 1760 Fällen.
Radiologe
; 46(7): 567-73, 2006 Jul.
Article
de De
| MEDLINE
| ID: mdl-16079972
ABSTRACT
BACKGROUND:
The legal and medical basis for chest radiographs as part of pre-employment examinations (PEE) at a University Hospital is evaluated. The radiographs are primarily performed to exclude infectious lung disease.METHODS:
A total of 1760 consecutive chest radiographs performed as a routine part of PEEs were reviewed retrospectively. Pathologic findings were categorized as "nonrelevant" or "relevant."RESULTS:
No positive finding with respect to tuberculosis or any other infectious disease was found; 94.8% of the chest radiographs were completely normal. Only five findings were regarded as "relevant" for the individual. No employment-relevant diagnosis occurred.CONCLUSIONS:
The performance of chest radiography as part of a PEE is most often not justified. The practice is expensive, can violate national and European law, and lacks medical justification.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tuberculose pulmonaire
/
Radiographie thoracique
/
Dépistage de masse
/
Demande d'emploi
Type d'étude:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
/
Screening_studies
Aspects:
Determinantes_sociais_saude
Limites:
Humans
Pays/Région comme sujet:
Europa
Langue:
De
Journal:
Radiologe
Année:
2006
Type de document:
Article