Guidelines for the Evaluation of Pulmonary Nodules Detected Incidentally or by Screening: A Survey of Radiologist Awareness, Agreement, and Adherence From the Watch the Spot Trial.

Journal of the American College of Radiology : JACR
Michael K GouldAnil Vachani

Abstract

The aim of this study was to examine radiologists' beliefs about existing guidelines for pulmonary nodule evaluation. A self-administered survey was developed to ascertain awareness of, agreement with, and adherence to published guidelines, including those from the Fleischner Society and the Lung CT Screening Reporting and Data System (Lung-RADS™). Surveys were distributed to 514 radiologists at 13 health care systems that are participating in a large, pragmatic trial of pulmonary nodule evaluation. Prespecified comparisons were made among groups defined by type of health system, years of experience, reader volume, and study arm. The response rate was 26.3%. Respondents were most familiar with guidelines from Fleischner (94%) and Lung-RADS (71%). For both incidental and screening-detected nodules, self-reported adherence to preferred guidelines was very high (97% and 94%, respectively), and most respondents believed that the benefits of adherence outweigh the harms (81% and 74%, respectively). Underlying evidence was thought to be high in quality by 68% of respondents for screening-detected nodules and 41% for incidental nodules. Approximately 70% of respondents believed that the frequency of recommended follow-up was "just rig...Continue Reading

References

Jun 20, 2003·The New England Journal of Medicine·David OstSteven H Feinsilver
May 5, 2012·Journal of the American College of Radiology : JACR·Mark MasciocchiBenjamin Lloyd
Jul 4, 2012·Journal of the American College of Radiology : JACR·Ronilda LacsonUNKNOWN Fleischner Society
Jun 18, 2015·Thorax·M E J CallisterUNKNOWN British Thoracic Society Standards of Care Committee
Jul 28, 2015·American Journal of Respiratory and Critical Care Medicine·Michael K GouldDavid E Suh
May 6, 2016·Annals of the American Thoracic Society·Erika M MosesonChristopher G Slatore

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Citations

May 19, 2021·Journal of Hazardous Materials·Md Saidur RahmanMyung-Geol Pang

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