偶然发现的肺结节随访率：一项评估遵循指南建议情况的队列研究

Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations.

作者信息

Kattih Zein, Moore Jonathan A, Wilson Brandon, Gajjala Sravani, Schwartz Jacob, Kushner Josef, Zajac Sean, Mahajan Akhilesh, Leung Tungming, Makkar Priyanka

机构信息

Department of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NY.

Department of Internal Medicine, Lenox Hill Hospital/Northwell Health, New York, NY.

出版信息

Am J Med Open. 2025 Feb 3;13:100091. doi: 10.1016/j.ajmo.2025.100091. eCollection 2025 Jun.

DOI:10.1016/j.ajmo.2025.100091

PMID:40276624

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12019827/

Abstract

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.

摘要

背景

孤立性肺结节（SPN）在影像学检查中很常见，且存在随访指南。对指南建议的遵循情况各不相同。

方法

我们在一家大都市医院的单一中心进行了一项回顾性研究，以确定肺结节患者的特征，并确定这些患者的随访率。共审查了1266份患者记录，确定了341例孤立性肺结节患者。

结果

肺气肿的存在与随访率增加相关，比值比为1.9。在SPN患者中，52%未接受适当的随访。在发现的结节中，40%与先前的影像学检查相比有增大。

结论

SPN的识别需要一种标准方法，以确保进行随访以便早期发现潜在的恶性肿瘤。适当的随访可提高早期癌症的检出率。

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本文引用的文献

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偶然发现的肺结节随访率：一项评估遵循指南建议情况的队列研究

Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations.

作者信息

Kattih Zein, Moore Jonathan A, Wilson Brandon, Gajjala Sravani, Schwartz Jacob, Kushner Josef, Zajac Sean, Mahajan Akhilesh, Leung Tungming, Makkar Priyanka

机构信息

Department of Pulmonary & Critical Care Medicine, Lenox Hill Hospital/Northwell Health, New York, NY.

Department of Internal Medicine, Lenox Hill Hospital/Northwell Health, New York, NY.

出版信息

Am J Med Open. 2025 Feb 3;13:100091. doi: 10.1016/j.ajmo.2025.100091. eCollection 2025 Jun.

DOI:10.1016/j.ajmo.2025.100091

PMID:40276624

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12019827/

Abstract

BACKGROUND

Solitary pulmonary nodules (SPNs) are commonly identified on imaging studies, and guidelines exist for follow-up. Adherence to guideline recommendations varies.

METHODS

RESULTS

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.

摘要

背景

孤立性肺结节（SPN）在影像学检查中很常见，且存在随访指南。对指南建议的遵循情况各不相同。

方法

结果

肺气肿的存在与随访率增加相关，比值比为1.9。在SPN患者中，52%未接受适当的随访。在发现的结节中，40%与先前的影像学检查相比有增大。

结论

SPN的识别需要一种标准方法，以确保进行随访以便早期发现潜在的恶性肿瘤。适当的随访可提高早期癌症的检出率。

偶然发现的肺结节随访率：一项评估遵循指南建议情况的队列研究

Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations.

作者信息

机构信息

出版信息

BACKGROUND

METHODS

RESULTS

CONCLUSIONS

背景

方法

结果

结论

相似文献

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偶然发现的肺结节随访率：一项评估遵循指南建议情况的队列研究

Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations.

作者信息

机构信息

出版信息

BACKGROUND

METHODS

RESULTS

CONCLUSIONS

背景

方法

结果

结论