An Official American Thoracic Society research statement: A research framework for pulmonary nodule evaluation and management

Christopher G. Slatore, Nanda Horeweg, James R. Jett, David E. Midthun, Charles A. Powell, Renda Soylemez Wiener, Juan P. Wisnivesky, Michael K. Gould

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Pulmonary nodules are frequently detected during diagnostic chest imaging and as a result of lung cancer screening. Current guidelines for their evaluation are largely based on low-quality evidence, and patients and clinicians could benefit from more research in this area. Methods: In this research statement from the American Thoracic Society, a multidisciplinary group of clinicians, researchers, and patient advocates reviewed available evidence for pulmonary nodule evaluation, characterized six focus areas to direct future research efforts, and identified fundamental gaps in knowledge and strategies to address them. We did not use formal mechanisms to prioritize one research area over another or to achieve consensus. Results: There was widespread agreement that novel tests (including novel imaging tests and biopsy techniques, biomarkers, and prognostic models) may improve diagnostic accuracy for identifying cancerous nodules. Before they are used in clinical practice, however, better evidence is needed to show that they improve more distal outcomes of importance to patients. In addition, the pace of research and the quality of clinical care would be improved by the development of registries that link demographic and nodule characteristics with patient-level outcomes. Methods to share data from registries are also necessary. Conclusions: This statement may help researchers to develop impactful and innovative research projects and enable funders to better judge research proposals. We hope that it will accelerate the pace and increase the efficiency of discovery to improve the quality of care for patients with pulmonary nodules.

Original languageEnglish (US)
Pages (from-to)500-514
Number of pages15
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume192
Issue number4
DOIs
StatePublished - Aug 15 2015

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Lung
Research
Quality of Health Care
Registries
Research Personnel
Diagnostic Imaging
Early Detection of Cancer
Lung Neoplasms
Research Design
Thorax
Biomarkers
Demography
Guidelines
Biopsy

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Medicine(all)

Cite this

An Official American Thoracic Society research statement : A research framework for pulmonary nodule evaluation and management. / Slatore, Christopher G.; Horeweg, Nanda; Jett, James R.; Midthun, David E.; Powell, Charles A.; Wiener, Renda Soylemez; Wisnivesky, Juan P.; Gould, Michael K.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 192, No. 4, 15.08.2015, p. 500-514.

Research output: Contribution to journalArticle

Slatore, Christopher G. ; Horeweg, Nanda ; Jett, James R. ; Midthun, David E. ; Powell, Charles A. ; Wiener, Renda Soylemez ; Wisnivesky, Juan P. ; Gould, Michael K. / An Official American Thoracic Society research statement : A research framework for pulmonary nodule evaluation and management. In: American Journal of Respiratory and Critical Care Medicine. 2015 ; Vol. 192, No. 4. pp. 500-514.
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