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| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Mauri, D. | en |
| dc.contributor.author | Kamposioras, K. | en |
| dc.contributor.author | Proiskos, A. | en |
| dc.contributor.author | Xilomenos, A. | en |
| dc.contributor.author | Peponi, C. | en |
| dc.contributor.author | Dambrosio, M. | en |
| dc.contributor.author | Zacharias, G. | en |
| dc.contributor.author | Koukourakis, G. | en |
| dc.contributor.author | Pentheroudakis, G. | en |
| dc.contributor.author | Pavlidis, N. | en |
| dc.date.accessioned | 2015-11-24T19:01:10Z | - |
| dc.date.available | 2015-11-24T19:01:10Z | - |
| dc.identifier.issn | 1088-0224 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/19651 | - |
| dc.rights | Default Licence | - |
| dc.subject | Humans | en |
| dc.subject | Mass Screening/*utilization | en |
| dc.subject | Physician's Practice Patterns/*trends | en |
| dc.subject | Predictive Value of Tests | en |
| dc.subject | Primary Health Care/*trends | en |
| dc.subject | Radiography, Thoracic/*utilization | en |
| dc.subject | Risk Assessment | en |
| dc.title | Old habits die hard: chest radiography for screening purposes in primary care | en |
| heal.type | journalArticle | - |
| heal.type.en | Journal article | en |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/17090221 | - |
| heal.language | en | - |
| heal.access | campus | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.publicationDate | 2006 | - |
| heal.abstract | OBJECTIVE: To assess whether the use of chest radiography for screening changes over time. DESIGN: Systematic review. DATA SOURCES: MEDLINE, ISI, Cochrane Central Register of Controlled Trials, and handsearching of selected journals. REVIEW METHODS: We evaluated whether the proportion of primary care physicians using chest radiography to screen for (1) malignancy in the general asymptomatic population, (2) malignancy in a high-risk subgroup, (3) any disease in the general population, and (4) any disease in a high-risk subgroup changed over time, using random-effects meta-regression analysis. Adjustments for the availability of national guidelines were also performed. RESULTS: Overall, 10% to 90% of primary care physicians reported using chest x-ray for screening. In unadjusted analyses, the proportion of physicians using chest radiography for cancer screening in the general population tended to increase by 0.9% per year (8 studies, n = 4313). The corresponding annual changes were -2.9% for cancer screening in high-risk subgroups (8 studies, n = 2784) and -0.4% regarding screening for any disease in the population (7 studies, n = 2627). No meta-regressions were run for outcome (4) (only 1 study). In the adjusted analyses, there was a decreasing nonsignificant trend for all outcomes. CONCLUSIONS: Despite formal recommendations, many physicians still use chest x-ray for screening, with their number decreasing slowly over time. This practice may be harmful because the positive predictive value of chest radiography is low, and further evaluation of false-positive findings might be associated with increased cost and risk from additional diagnostic or therapeutic interventions. | en |
| heal.journalName | Am J Manag Care | en |
| heal.journalType | peer-reviewed | - |
| heal.fullTextAvailability | TRUE | - |
| Appears in Collections: | Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ | |
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