Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations
Background: Solitary pulmonary nodules (SPNs) are commonly identified on imaging studies, and guidelines exist for follow-up. Adherence to guideline recommendations varies. Methods: We conducted a retrospective review at a single center in a metropolitan hospital to identify characteristics of patie...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
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| Series: | American Journal of Medicine Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667036425000056 |
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| Summary: | Background: Solitary pulmonary nodules (SPNs) are commonly identified on imaging studies, and guidelines exist for follow-up. Adherence to guideline recommendations varies. Methods: We conducted a retrospective review at a single center in a metropolitan hospital to identify characteristics of patients with lung nodules and determine the rate of follow-up of these patients. A total of 1266 patient records were reviewed, and 341 patients with solitary pulmonary nodules were identified. Results: The presence of emphysema was associated with an increased rate of follow-up with an odds ratio of 1.9. Of the patients with SPNs, 52% do not receive appropriate follow-up. Of the nodules identified, 40% were noted to be enlarged compared to prior imaging. Conclusions: Identification of SPNs requires a standard approach to ensure follow-up for early detection of potential malignancy. Appropriate follow-up allows improvement of the rate of early cancer detection. |
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| ISSN: | 2667-0364 |