Advanced search
1 file | 285.86 KB Add to list

Incidental chest radiographic findings in adult patients with acute cough

(2012) ANNALS OF FAMILY MEDICINE. 10(6). p.510-515
Author
Organization
Abstract
PURPOSE Imaging may produce unexpected or incidental findings with consequences for patients and ordering of future investigations. Chest radiography in patients with acute cough is among the most common reasons for imaging in primary care, but data on associated incidental findings are lacking. We set out to describe the type and prevalence of incidental chest radiography findings in primary care patients with acute cough. METHODS We report on data from a cross-sectional study in 16 European primary care networks on 3,105 patients with acute cough, all of whom were undergoing chest radiography as part of a research study workup. Apart from assessment for specified signs of pneumonia and acute bronchitis, local radiologists were asked to evaluate any additional finding on the radiographs. For the 2,823 participants with good-quality chest radiographs, these findings were categorized according to clinical relevance based on previous research evidence and analyzed for type and prevalence by network, sex, age, and smoking status. RESULTS Incidental findings were reported in 19% of all participants, and ranged from 0% to 25% by primary care network, with the network being an independent contributor (P < .001). Of all participants 3% had clinically relevant incidental findings. Suspected nodules and shadows were reported in 1.8%. Incidental findings were more common is older participants and smokers (P < .001). CONCLUSIONS Clinically relevant incidental findings on chest radiographs in primary care adult patients with acute cough are uncommon, and prevalence varies by setting.
Keywords
cough, lung/radiography, primary care, incidental findings, COMMUNITY-ACQUIRED PNEUMONIA, VERTEBRAL FRACTURES, PRIMARY-CARE, MANAGEMENT, RECOMMENDATIONS, RELIABILITY, DYSFUNCTION, PREVALENCE, DIAGNOSIS, ETIOLOGY

Downloads

  • Ann-fam-med-2012-10-510.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 285.86 KB

Citation

Please use this url to cite or link to this publication:

MLA
van Vugt, Saskia, et al. “Incidental Chest Radiographic Findings in Adult Patients with Acute Cough.” ANNALS OF FAMILY MEDICINE, vol. 10, no. 6, 2012, pp. 510–15, doi:10.1370/afm.1384.
APA
van Vugt, S., Broekhuizen, L., Zuithoff, N., de Jong, P., Butler, C., Hood, K., … Verheij, T. (2012). Incidental chest radiographic findings in adult patients with acute cough. ANNALS OF FAMILY MEDICINE, 10(6), 510–515. https://doi.org/10.1370/afm.1384
Chicago author-date
Vugt, Saskia van, Lidewij Broekhuizen, Nicolaas Zuithoff, Pim de Jong, Christopher Butler, Kerenza Hood, Samuel Coenen, et al. 2012. “Incidental Chest Radiographic Findings in Adult Patients with Acute Cough.” ANNALS OF FAMILY MEDICINE 10 (6): 510–15. https://doi.org/10.1370/afm.1384.
Chicago author-date (all authors)
van Vugt, Saskia, Lidewij Broekhuizen, Nicolaas Zuithoff, Pim de Jong, Christopher Butler, Kerenza Hood, Samuel Coenen, Herman Goossens, Paul Little, Jordi Almirall, Francesco Blasi, Slawomir Chlabicz, Mel Davies, Maciek Godycki-Cwirko, Helena Hupkova, Janko Kersnik, Arthur Mierzecki, Sigvard Mölstad, Michael Moore, Tom Schaberg, An De Sutter, Antoni Torres, Pia Touboul, and Theo Verheij. 2012. “Incidental Chest Radiographic Findings in Adult Patients with Acute Cough.” ANNALS OF FAMILY MEDICINE 10 (6): 510–515. doi:10.1370/afm.1384.
Vancouver
1.
van Vugt S, Broekhuizen L, Zuithoff N, de Jong P, Butler C, Hood K, et al. Incidental chest radiographic findings in adult patients with acute cough. ANNALS OF FAMILY MEDICINE. 2012;10(6):510–5.
IEEE
[1]
S. van Vugt et al., “Incidental chest radiographic findings in adult patients with acute cough,” ANNALS OF FAMILY MEDICINE, vol. 10, no. 6, pp. 510–515, 2012.
@article{4179819,
  abstract     = {{PURPOSE Imaging may produce unexpected or incidental findings with consequences for patients and ordering of future investigations. Chest radiography in patients with acute cough is among the most common reasons for imaging in primary care, but data on associated incidental findings are lacking. We set out to describe the type and prevalence of incidental chest radiography findings in primary care patients with acute cough.
METHODS We report on data from a cross-sectional study in 16 European primary care networks on 3,105 patients with acute cough, all of whom were undergoing chest radiography as part of a research study workup. Apart from assessment for specified signs of pneumonia and acute bronchitis, local radiologists were asked to evaluate any additional finding on the radiographs. For the 2,823 participants with good-quality chest radiographs, these findings were categorized according to clinical relevance based on previous research evidence and analyzed for type and prevalence by network, sex, age, and smoking status.
RESULTS Incidental findings were reported in 19% of all participants, and ranged from 0% to 25% by primary care network, with the network being an independent contributor (P < .001). Of all participants 3% had clinically relevant incidental findings. Suspected nodules and shadows were reported in 1.8%. Incidental findings were more common is older participants and smokers (P < .001).
CONCLUSIONS Clinically relevant incidental findings on chest radiographs in primary care adult patients with acute cough are uncommon, and prevalence varies by setting.}},
  author       = {{van Vugt, Saskia and Broekhuizen, Lidewij and Zuithoff, Nicolaas and de Jong, Pim and Butler, Christopher and Hood, Kerenza and Coenen, Samuel and Goossens, Herman and Little, Paul and Almirall, Jordi and Blasi, Francesco and Chlabicz, Slawomir and Davies, Mel and Godycki-Cwirko, Maciek and Hupkova, Helena and Kersnik, Janko and Mierzecki, Arthur and Mölstad, Sigvard and Moore, Michael and Schaberg, Tom and De Sutter, An and Torres, Antoni and Touboul, Pia and Verheij, Theo}},
  issn         = {{1544-1709}},
  journal      = {{ANNALS OF FAMILY MEDICINE}},
  keywords     = {{cough,lung/radiography,primary care,incidental findings,COMMUNITY-ACQUIRED PNEUMONIA,VERTEBRAL FRACTURES,PRIMARY-CARE,MANAGEMENT,RECOMMENDATIONS,RELIABILITY,DYSFUNCTION,PREVALENCE,DIAGNOSIS,ETIOLOGY}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{510--515}},
  title        = {{Incidental chest radiographic findings in adult patients with acute cough}},
  url          = {{http://dx.doi.org/10.1370/afm.1384}},
  volume       = {{10}},
  year         = {{2012}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: