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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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | American Journal of Medicine Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667036425000056 |
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| author | Zein Kattih Jonathan A Moore Brandon Wilson Sravani Gajjala Jacob Schwartz Josef Kushner Sean Zajac Akhilesh Mahajan Tungming Leung Priyanka Makkar |
| author_facet | Zein Kattih Jonathan A Moore Brandon Wilson Sravani Gajjala Jacob Schwartz Josef Kushner Sean Zajac Akhilesh Mahajan Tungming Leung Priyanka Makkar |
| author_sort | Zein Kattih |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6859a6ea51de4b1d967c600fd9c3c3fe |
| institution | Kabale University |
| issn | 2667-0364 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Medicine Open |
| spelling | doaj-art-6859a6ea51de4b1d967c600fd9c3c3fe2025-08-20T03:26:39ZengElsevierAmerican Journal of Medicine Open2667-03642025-06-011310009110.1016/j.ajmo.2025.100091Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline RecommendationsZein Kattih0Jonathan A Moore1Brandon Wilson2Sravani Gajjala3Jacob Schwartz4Josef Kushner5Sean Zajac6Akhilesh Mahajan7Tungming Leung8Priyanka Makkar9Department of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NY; Correspondence to: Zein Kattih, MD, 100 E. 77th St., 4 East, New York, NY, 10028.Department of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Internal Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Internal Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Internal Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NYDepartment of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NYBiostatistics Unit, Office of Academic Affairs, Northwell Health, New York, NYDepartment of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NYBackground: 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.http://www.sciencedirect.com/science/article/pii/S2667036425000056Chest imagingIncidental pulmonary noduleLung cancer screeningSolitary pulmonary nodules |
| spellingShingle | Zein Kattih Jonathan A Moore Brandon Wilson Sravani Gajjala Jacob Schwartz Josef Kushner Sean Zajac Akhilesh Mahajan Tungming Leung Priyanka Makkar Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations American Journal of Medicine Open Chest imaging Incidental pulmonary nodule Lung cancer screening Solitary pulmonary nodules |
| title | Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations |
| title_full | Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations |
| title_fullStr | Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations |
| title_full_unstemmed | Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations |
| title_short | Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations |
| title_sort | rate of incidental lung nodule follow up a cohort study evaluating adherence to guideline recommendations |
| topic | Chest imaging Incidental pulmonary nodule Lung cancer screening Solitary pulmonary nodules |
| url | http://www.sciencedirect.com/science/article/pii/S2667036425000056 |
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