Chest X-ray as an essential part of routine medical examination: Is it necessary?

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Various studies in primary care and hospitalized patients have discouraged routine use of chest x-ray (CXR) in medical examination. Purpose: The study aims to determine the prevalence of abnormal routine CXR and cost of one CXR at a public health clinic and discuss the rationale of CXR in routine medical examination. Methodology: Data of patients who visited Klinik Kesihatan Bandar Kota Bharu (KKBKB), a public health clinic, from 1 January until 31 December 2010 were examined. The study used cross-sectional design. All patients who came for medical examination and CXR at KKBKB were included. Cost analysis was performed from the perspective of provider. Findings: About 63.1% of 8315 CXR films in KKBKB were produced as part of routine medical examination. Prevalence of abnormal CXR was 0.25%. The cost of producing one CXR ranges from RM15.87 to RM32. 34. Discussion: Low yield from CXR screening and high cost of CXR are the main concern. CXR screening would also lead to unnecessary radiation; and false-positive screening resulting in physical risk, unwarranted anxiety and more expenditure. CXR screening is appropriately reserved for high-risk patients and those with relevant clinical findings.

Original languageEnglish
Pages (from-to)606-609
Number of pages4
JournalMedical Journal of Malaysia
Volume67
Issue number6
Publication statusPublished - Dec 2012

Fingerprint

Thorax
X-Rays
Costs and Cost Analysis
Public Health
Health Expenditures
Primary Health Care
Anxiety
Cross-Sectional Studies
Radiation

Keywords

  • Chest X-ray
  • Cost analysis
  • Routine medical examination
  • Screening

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chest X-ray as an essential part of routine medical examination : Is it necessary? / Izamin, Idris; Abdul Manaf, Mohd Rizal.

In: Medical Journal of Malaysia, Vol. 67, No. 6, 12.2012, p. 606-609.

Research output: Contribution to journalArticle

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