Evidence map›Paper›PMID 32600651›Full record

ArticleClinical radiology2020

A national UK audit for diagnostic accuracy of preoperative CT chest in emergency and elective surgery during COVID-19 pandemic.

M Callaway, S Harden, W Ramsden, M Beavon, K Drinkwater, T Vanburen, C Rubin, A Beale

Open access · bronzeAbstract read
In one paragraph

Article in Clinical radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. COVID-19 pneumonia following double-sleeve lobectomy for lung cancer.General thoracic and cardiovascular surgery · 2021
    Article
  6. Article
  7. What is the 'new normal' in surgical procedures in the era of COVID-19?Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Article
  8. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

M CallawayThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK. Electronic address: Mark_Callaway@RCR.ac.uk.
S HardenThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
W RamsdenThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
M BeavonThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
K DrinkwaterThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
T VanburenThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
C RubinThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
A BealeThe Royal College of Radiologists, 63, Lincolns Inns Fields, London, UK.
The Honourable Society of Lincoln's Inn · GBRoyal College of Radiologists · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo report on a snap audit of all departments in the UK as to the value of preoperative thoracic imaging, preferably computed tomography (CT), of patients undergoing any surgery to assess for changes consistent with COVID-19 preoperatively. MATERIALS AND

methodsAll Imaging departments in the UK were contacted and asked to record the number of preoperative CT examinations performed in patients being considered for both emergency and elective surgical intervention over a 5-day period in May 2020.

resultsForty-seven percent of departments replied with data provided on >820 patients. Nineteen percent of additional preoperative CT was in patients undergoing elective intervention and 81% in patients presenting with surgical abdominal pain. There was a high rate of false positives in patients who tested negative for COVID-19, producing a sensitivity for thoracic CT of 68.4%.

conclusionThis UK-wide audit demonstrates that a large number of additional thoracic imaging examinations over a 5-day period were performed with a low sensitivity for the identification of COVID-19 in this preoperative group of patients. Given these findings, it is difficult to justify this additional examination in this group of patients.

Indexed as

BetacoronavirusSurgical Procedures, OperativeCoronavirus InfectionsCOVID-19HumansLungMedical AuditPandemicsPneumonia, ViralPreoperative CareProspective StudiesRadiography, ThoracicReproducibility of ResultsSARS-CoV-2Sensitivity and SpecificityTomography, X-Ray Computed

Identifiers

PMID32600651
PMCPMC7311900
OpenAlexW3036657657

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.