| The futility of universal pre-employment chest radiographs. | |
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MedLine Citation:
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PMID: 17225852 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a developmental center, a preemployment chest x-ray was required for all job applicants. We scrutinized the pros and cons of this practice through a review of the medical literature and our experience, and discussion with our colleagues. We concluded that such chest x-ray caused unwarranted radiation exposure, did not produce compliance with the tuberculosis laws, gave a false sense of security regarding workers' compensation risk management, was contrary to established occupational medicine practice guidelines, and was unnecessary and wasteful. We discontinued such chest x-rays. The purpose of the pre-employment examination should remain narrowly job related. Even long-established procedures require periodic utilization review. |
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Authors:
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Ghan-Shyam Lohiya; Lilia Tan-Figueroa; Piyush Lohiya; De Bui |
Publication Detail:
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Type: Editorial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the National Medical Association Volume: 98 ISSN: 0027-9684 ISO Abbreviation: J Natl Med Assoc Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2007-01-17 Completed Date: 2007-02-09 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7503090 Medline TA: J Natl Med Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 2019-23 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cost-Benefit Analysis Evidence-Based Medicine Humans Mass Chest X-Ray* / adverse effects, economics Tuberculosis / prevention & control* United States Work Capacity Evaluation* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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