Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey
Background and purpose: There is limited data on the real-world management of incidental pulmonary nodules (IPN). In this article, we review current practices and adherence to international guidelines in the Nordic countries. Materials and methods: This non-interventional, observational survey stud...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-01-01
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| Series: | Acta Oncologica |
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| Online Access: | https://medicaljournalssweden.se/actaoncologica/article/view/42461 |
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| author | Kirill Neumann Janna Berg Haseem Ashraf Johan Isaksson Aija Knuuttila Morten H. Borg Torben R. Rasmussen |
| author_facet | Kirill Neumann Janna Berg Haseem Ashraf Johan Isaksson Aija Knuuttila Morten H. Borg Torben R. Rasmussen |
| author_sort | Kirill Neumann |
| collection | DOAJ |
| description | Background and purpose: There is limited data on the real-world management of incidental pulmonary nodules (IPN). In this article, we review current practices and adherence to international guidelines in the Nordic countries.
Materials and methods: This non-interventional, observational survey study based on an online survey consisting of 13 questions. In total, 32 hospitals responded to the survey, with 11 from Denmark, 10 from Sweden, 7 from Norway, and 4 from Finland, resulting in an overall response rate of 86% (32/37). These institutions reported following a median of 20 new lung nodules monthly (5–400 IPN cases per month).
Results: In Denmark and Sweden, 100% of respondents indicated the presence of national guidelines. In Norway, this rate was 86%, and in Finland 80%. Among the primary guidelines followed, 70% of respondents reported using national guidelines, 20% used international guidelines, and only 10% reported relying on local/institutional guidelines as their first choice. Most sites used a combination of international and national guidelines (75%, 24/32). Available international guidelines were equally represented, with 35% using the Fleischner Criteria, 30% using British Thoracic Society guidelines, and 35% using others (e.g. European Society for Medical Oncology, National Comprehensive Cancer Network). There was variation in which department held primary responsibility for IPN follow-up. The article also demonstrated differences in suggested follow-up cases from the survey.
Interpretation: The study reveals strong adherence to guidelines among Nordic hospitals, with a notable preference for hybrid approaches that combine different guidelines. We need continued efforts to harmonize and update guidelines.
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| format | Article |
| id | doaj-art-6c600a1df3d04a319824ffab3b3bb5f6 |
| institution | Kabale University |
| issn | 1651-226X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Oncologica |
| spelling | doaj-art-6c600a1df3d04a319824ffab3b3bb5f62025-01-08T17:27:51ZengMedical Journals SwedenActa Oncologica1651-226X2025-01-016410.2340/1651-226X.2025.42461Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic surveyKirill Neumann0Janna Berg 1Haseem Ashraf 2Johan Isaksson 3Aija Knuuttila4Morten H. Borg5Torben R. Rasmussen6Pulmonary department, Akershus University Hospital, NorwayPulmonary department, Vestfold Hospital Trust, Tønsberg, NorwayDepartment of Diagnostic Imaging, Akershus University Hospital, Lørenskog, Norway and Division of Medicine and Laboratory Sciences, University of Oslo, Oslo, NorwayCentre for Research and Development, Region Gävleborg, Uppsala University, SwedenHeart- and Lung Center and Cancer Center, Helsinki University Hospital and University of Helsinki, FinlandDepartment of Medicine, Lillebaelt Hospital Vejle, Vejle, DenmarkDepartment of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, DenmarkBackground and purpose: There is limited data on the real-world management of incidental pulmonary nodules (IPN). In this article, we review current practices and adherence to international guidelines in the Nordic countries. Materials and methods: This non-interventional, observational survey study based on an online survey consisting of 13 questions. In total, 32 hospitals responded to the survey, with 11 from Denmark, 10 from Sweden, 7 from Norway, and 4 from Finland, resulting in an overall response rate of 86% (32/37). These institutions reported following a median of 20 new lung nodules monthly (5–400 IPN cases per month). Results: In Denmark and Sweden, 100% of respondents indicated the presence of national guidelines. In Norway, this rate was 86%, and in Finland 80%. Among the primary guidelines followed, 70% of respondents reported using national guidelines, 20% used international guidelines, and only 10% reported relying on local/institutional guidelines as their first choice. Most sites used a combination of international and national guidelines (75%, 24/32). Available international guidelines were equally represented, with 35% using the Fleischner Criteria, 30% using British Thoracic Society guidelines, and 35% using others (e.g. European Society for Medical Oncology, National Comprehensive Cancer Network). There was variation in which department held primary responsibility for IPN follow-up. The article also demonstrated differences in suggested follow-up cases from the survey. Interpretation: The study reveals strong adherence to guidelines among Nordic hospitals, with a notable preference for hybrid approaches that combine different guidelines. We need continued efforts to harmonize and update guidelines. https://medicaljournalssweden.se/actaoncologica/article/view/42461pulmonary noduleadherence to guidelinesHealthcare SurveyNordic countries |
| spellingShingle | Kirill Neumann Janna Berg Haseem Ashraf Johan Isaksson Aija Knuuttila Morten H. Borg Torben R. Rasmussen Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey Acta Oncologica pulmonary nodule adherence to guidelines Healthcare Survey Nordic countries |
| title | Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey |
| title_full | Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey |
| title_fullStr | Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey |
| title_full_unstemmed | Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey |
| title_short | Adherence to guidelines for incidental pulmonary nodules: insights from a Nordic survey |
| title_sort | adherence to guidelines for incidental pulmonary nodules insights from a nordic survey |
| topic | pulmonary nodule adherence to guidelines Healthcare Survey Nordic countries |
| url | https://medicaljournalssweden.se/actaoncologica/article/view/42461 |
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