Quality review: Fleischner criteria adherence by radiologists in a large community hospital

Journal of the American College of Radiology : JACR
Mark MasciocchiBenjamin Lloyd

Abstract

Solitary pulmonary nodules are a common incidental finding on CT and unnecessary follow-up affects cost, radiation exposure, and patient anxiety. The aim of this study was to evaluate the adherence of one institution's radiologists with published criteria in their follow-up recommendations. A data set of 3,000 CT scans with the word nodule used in the report history or conclusion from 2008 to 2010 was generated. This pool was increased as each study was traced back to the examination when the pulmonary nodule was first identified. The follow-up recommendation of the radiologist was then classified as "adherent," "incomplete/no recommendation," "earlier than recommended by the criteria," "later than recommended," or a "wider follow-up time frame than recommended." After the implementation of exclusion criteria, 1,432 examinations were satisfactory for classification. The adherence rates of radiologists for nodules followed in up to 4 consecutive examinations were 57%, 48%, 70%, and 79%, respectively. Overmanagement was the most common deviation from the Fleischner criteria, ranging from 15% to 28% of evaluated reports. Radiologists at the authors' hospital do not always adhere to the Fleischner criteria, most often recommending ...Continue Reading

References

Oct 23, 1997·Chest·T NarukeH Nakayama
Feb 24, 2001·The British Journal of Radiology·M HasegawaT Watanabe
Apr 7, 2007·Journal of the American College of Radiology : JACR·Milton J GuiberteauSandra Bjork

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Citations

Dec 20, 2015·Current Problems in Diagnostic Radiology·James V RawsonMelissa Furman
Mar 16, 2013·Journal of the American College of Radiology : JACR·Martin H Reed
Apr 2, 2013·Journal of the American College of Radiology : JACR·Ronald L Eisenberg
Dec 30, 2014·Current Problems in Diagnostic Radiology·Clinton JokerstTan Lucien H Mohammed
May 6, 2016·Annals of the American Thoracic Society·Erika M MosesonChristopher G Slatore
Jun 21, 2016·Journal of the American College of Radiology : JACR·Toshimasa J Clark, Glenn Coats
Sep 23, 2016·Journal of the American College of Radiology : JACR·Matthew E ZygmontTarek N Hanna
Apr 25, 2017·Journal of the American College of Radiology : JACR·Jonathan ShelverKathryn Rice
Jan 16, 2014·Journal of Computer Assisted Tomography·Carole A RidgeDavid H Roberts
Dec 22, 2019·Chest·Francys C VerdialFarhood Farjah

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