Creating an Incidental Pulmonary Nodule Safety-Net Program.

Area of Science:

• Radiology
• Pulmonology
• Healthcare Management

Background:

• Incidental pulmonary nodules are common on CT scans, found in up to 48% of CT angiograms.
• These findings are often overlooked, leading to potential delayed diagnosis of lung cancer.
• The financial and clinical risks associated with these incidental findings are significant.

Purpose of the Study:

• To describe the development and implementation of an incidental pulmonary nodule program.
• To improve the identification, reporting, and follow-up of incidental pulmonary nodules found on CT scans.
• To reduce the risk of delayed lung cancer diagnosis.

Main Methods:

• Development of a program led by an advanced practice nurse.
• Establishment of processes to identify patients with incidental lung nodules.
• Creation of criteria for follow-up with primary care providers and patients.
• Promoting consistent use of Fleischner guidelines in radiology reports.

Main Results:

• Improved identification and documentation of incidental pulmonary nodules.
• Increased adherence to Fleischner guidelines by radiologists.
• Enhanced provider ownership in informing patients about incidental nodules.
• Successful implementation of a structured follow-up process.

Conclusions:

• A dedicated incidental pulmonary nodule program can effectively manage these findings.
• Standardized follow-up processes are crucial for patient care.
• Such programs are beneficial for lung nodule clinics and hospital systems.
• Proactive management of incidental nodules can mitigate risks like delayed lung cancer diagnosis.