| Management of patients with small pulmonary nodules: a survey of radiologists, pulmonologists, and thoracic surgeons. | |
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MedLine Citation:
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PMID: 16794168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of our study was to survey recommendations for the management of small pulmonary nodules found on helical CT from radiologists, pulmonologists, and thoracic surgeons. MATERIALS AND METHODS: We surveyed 774 radiologists, 623 pulmonologists, and 101 thoracic surgeons. All are members of an associated Austrian scientific society and were asked for their recommendations in 13 hypothetical cases. Statistical analysis was focused on possible differences between medical specialities, residents and fellows, and male and female doctors and on a possible influence of the number of years in training or in medical practice. RESULTS: Complete surveys were returned from 91 radiologists, 74 pulmonologists, and 12 thoracic surgeons. The most frequent recommendation from radiologists was follow-up, whereas the most frequent recommendation from pulmonologists and surgeons was biopsy. The most frequently advised CT follow-up period was 3 months. Whereas thoracic surgeons preferred video-assisted thoracoscopy, radiologists and pulmonologists recommended less invasive procedures (bronchoscopy, CT-guided biopsy) to gain a specific diagnosis. CONCLUSION: There are significant differences in the management of small pulmonary nodules among radiologists, pulmonologists, and thoracic surgeons. Whereas radiologists tend to recommend short-term follow-up, pulmonologists and thoracic surgeons prefer a more aggressive approach, especially in patients with a higher likelihood of malignancy. |
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Authors:
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Helmut Prosch; Gertraud Strasser; Elisabeth Oschatz; Ewald Schober; Barbara Schneider; Gerhard H Mostbeck |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 187 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-06-23 Completed Date: 2006-08-16 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
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Languages: eng Pagination: 143-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Otto Wagner Hospital, Sanatoriumsstrasse 2, 1140 Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Austria Data Collection Female Humans Lung Neoplasms Male Physician's Practice Patterns* Pulmonary Medicine Radiology Solitary Pulmonary Nodule / radiography*, therapy Thoracic Surgery Tomography, Spiral Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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