Is a preemployment chest radiograph necessary for NHS employees?

Jachuck, S J; Bound, C L; Jones, Clifford; Bryson, M

doi:10.1136/bmj.296.6630.1187

Cited by 8 publications

(2 citation statements)

References 8 publications

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“…They also noted that the cost involved was very high for such a small detection rate and recommended against it. [ 6 ] Ladd et al . also found the detection rate in routine pre-employment chest radiographs was too low where 5 out of 1760 cases were “relevant” and none of these affected employment.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 2 ] There has been a lot of discussion regarding the usefulness or the futility of routine chest radiographs as part of screening of prospective employees, with some studies concluding in favor[ 3 4 ] and others against such practice. [ 5 6 7 8 9 10 11 12 13 14 15 ] To our knowledge, there is no published data from India on this subject.…”

Section: Introductionmentioning

confidence: 99%

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The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

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Background and Objective:A routine chest radiograph is mandatory in many institutions as a part of pre-employment screening. The usefulness of this has been studied over the years keeping in mind the added time, cost, and radiation concerns. Studies conducted outside India have shown different results, some for and some against it. To our knowledge, there is no published data from India on this issue.Materials and Methods:A retrospective review of the reports of 4113 pre-employment chest radiographs done between 2007 and 2009 was conducted.Results:Out of 4113 radiographs, 24 (0.58%) candidates required further evaluation based on findings from the screening chest radiograph. Out of these, 7 (0.17%) candidates required appropriate further treatment.Interpretation and Conclusions:The percentage of significant abnormalities detected which needed further medical intervention was small (0.17%). Although the individual radiation exposure is very small, the large numbers done nation-wide would significantly add to the community radiation, with added significant cost and time implications. We believe that pre-employment chest radiographs should be restricted to candidates in whom there is relevant history and/or clinical findings suggestive of cardiopulmonary disease.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The routine pre-employment screening chest radiograph: Should it be routine?

Samuel

Gibikote

Kirupakaran

2016

Indian Journal of Radiology and Imaging

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Reasons for Rejection: Why People Fail to Qualify as Firefighters

Ide¹

1996

Occupational Medicine

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In the decade beginning 1 January 1985, 916 individuals (including five females) were medically examined with a view to joining the full-time service of Strathclyde Fire Brigade (SFB). One hundred and nine (11.9%), including two females, were rejected. The five main causes of failure were: ocular (n = 46, 42.2%); lack of stamina (n = 21, 19.2%); 'others' (n = 12, 11.0%); cardiovascular (n = 9, 8.3%) and orthopaedic (n = 6, 5.5%). Thirty-two had chest X-rays. One abnormality was found -an azygous lobe-but it played no part in the decision to decline the applicant. There was little life- or health-threatening pathology found. The most serious cases were murmurs consistent with mitral stenosis and regurgitation (one each), one case of ocular melanoma, four cases of hypertension and two cases of haematuria/ proteinuria (++). This study shows that potentially serious findings can occasionally be detected in a population of 18-30 year olds who might be expected to be of better than average fitness, and that routine chest X-rays are not helpful in the selection process.

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Control and prevention of tuberculosis in Britain: an updated code of practice. Subcommittee of the Joint Tuberculosis Committee of the British Thoracic Society.

1990

BMJ

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A subcommitte was appointed by the Joint Tuberculosis Committee of the British Thoracic Society to review and bring up to date guidelines on control measures for tuberculosis. The updated code of practice emphasises that all cases of tuberculosis must be notified. A minority of patients need admission, and those with positive sputum smears should be regarded as infectious until they have received two weeks of chemotherapy. NHS staff at risk should be protected, and evidence of infectious tuberculosis should be sought as routine among certain prospective NHS employees, schoolteachers, and others. Contact tracing should be vigorously pursued, and all entrants to Britain from countries where tuberculosis is common should be screened. BCG vaccination should be offered in selected instances, and local organisation of tuberculosis services should be extended.

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Is a preemployment chest radiograph necessary for NHS employees?

Cited by 8 publications

References 8 publications

The routine pre-employment screening chest radiograph: Should it be routine?

The routine pre-employment screening chest radiograph: Should it be routine?

Reasons for Rejection: Why People Fail to Qualify as Firefighters

Control and prevention of tuberculosis in Britain: an updated code of practice. Subcommittee of the Joint Tuberculosis Committee of the British Thoracic Society.

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