{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:21:27Z","timestamp":1753878087988,"version":"3.41.2"},"reference-count":9,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Every patient undergoing non\u2010cardiac thoracic surgery will receive several chest X\u2010rays through the perioperative period. The patient might receive a preoperative X\u2010ray as a baseline as well as several X\u2010rays before and after drain removal. This routine has several disadvantages, for the patient, the health care system and the medical staff. Purpose of this study was to examine if all X\u2010rays before removal of the drain can be omitted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred fifty\u2010five patients who underwent elective thoracic surgery were included in this retrospective analysis. Patients undergoing urgent procedures or empyema surgery, as well as patients with symptoms requiring further diagnostic measures or patients who required clamping of the drain before removal, were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five patients received an X\u2010ray before removal of the drain, and 210 patients did not. The X\u2010ray group developed significantly more minor complications than the no X\u2010ray group. 46.7% of the X\u2010rays before drain removal (X\u2010ray group) were reported with abnormalities. However, these abnormalities never led to a change in patient care. Drainage time and postoperative hospital stay were significantly longer in the X\u2010ray group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Omitting any X\u2010ray between surgery and removal of the chest drain appears to be safe in our retrospective patient cohort. The proposed benefits of omitting the X\u2010ray are very relevant for the health care system, the medical and nursing teams, and, more importantly, for the patients. Evidence suggests that X\u2010ray of patients regularly do not exist. It is therefore reasonable to consider exploring this question in a formal prospective trial.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.70050","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T06:16:23Z","timestamp":1743142583000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is It Safe to Omit Any Chest X\u2010Ray Before Removing the Chest Drain After Elective, Non\u2010Cardiac Thoracic Surgery? A Single\u2010Center, Retrospective, Case\u2013Control Study"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2742-9045","authenticated-orcid":false,"given":"Ioannis","family":"Karampinis","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolin","family":"Reker","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Grifone","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Souschek","sequence":"additional","affiliation":[{"name":"Clinic for Diagnostic and Interventional Radiology University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9898-7154","authenticated-orcid":false,"given":"Christian","family":"Galata","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davor","family":"Stamenovic","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Roessner","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Center for Thoracic Diseases University Medical Center Mainz, Johannes Gutenberg University Mainz  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14184361"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2481071451"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.05.014"},{"issue":"1","key":"e_1_2_12_5_1","first-page":"14","article-title":"Pulmonary Segmental Resection for Solitary Lesions of Doubtful Character","volume":"74","author":"Ramsay B. H.","year":"1951","journal-title":"California Medicine"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy301"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.17114"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.12.030"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.02.046"},{"issue":"1","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1055\/s-0043-117174","article-title":"Same\u2010Day Routine Chest\u2010X Ray After Thoracic Surgery Is Not Necessary!","volume":"143","author":"Nagy P.","year":"2018","journal-title":"Zentralblatt Fur Chirurgie"}],"container-title":["Thoracic Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.70050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T03:08:09Z","timestamp":1744686489000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1759-7714.70050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,27]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/1759-7714.70050"],"URL":"https:\/\/doi.org\/10.1111\/1759-7714.70050","archive":["Portico"],"relation":{},"ISSN":["1759-7706","1759-7714"],"issn-type":[{"type":"print","value":"1759-7706"},{"type":"electronic","value":"1759-7714"}],"subject":[],"published":{"date-parts":[[2025,3,27]]},"assertion":[{"value":"2025-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70050"}}