Outcomes Following Omission of Daily Routine Chest Radiographs Following Pulmonary Resection

Phase 2

Completed

• Conditions: Lung Cancer, Nonsmall Cell; Lung Adenocarcinoma; Lung Cancer; Lung Diseases; Surgery
• Interventions: Diagnostic Test: Chest Xray; Diagnostic Test: No daily chest xray

• Registration Number: NCT03704870
• Lead Sponsor: University Health Network, Toronto

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-26
• Study First Submitted: 2018-02-28
• Study First Submitted QC: 2018-10-11
• Study First Posted: 2018-10-15
• Status Verified: 2019-05
• Primary Completion: 2019-12-31
• Study Completion: 2020-03-31
• Last Update Submitted: 2020-04-29
• Last Update Posted: 2020-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

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

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Exclusion Criteria

• Previous thoracic surgery history in the same side.
• Exploration, biopsy, lung volume reduction surgeries (LVRS), bilobectomies, sleeve resections or pneumonectomies performed.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Daily Chest Xray (standard)	Chest Xray	-
Chest Xray post chest tube removal only	No daily chest xray	-

Primary Outcome Measures

Name	Time	Method
Number of total chest xrays performed per subject	30 days	number of scheduled and additional chest xrays, and how does this correlate with post operative safety

Trial Locations

Locations (1)

Toronto General Hospital; 🇨🇦 Toronto, Ontario, Canada