ArticleChest2013
What do you mean, a spot?: A qualitative analysis of patients' reactions to discussions with their physicians about pulmonary nodules.
Article in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03487952 (Evaluation of Lung Nodule and Lung Cancer Detection With Artificial Intelligence Assisted Computed Tomography Among People Living in North China), which is not on this map. Cited by 65 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of Lung Nodule and Lung Cancer Detection With Artificial Intelligence Assisted Computed Tomography Among People Living in North China: a Prospective Single-arm Multicentre Study of Screening
Who cites it
65 citing papers in PubMed, 6 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- Shared decision-making in the management of pulmonary nodules: a systematic review of quantitative and qualitative studies.BMJ open · 2024Pooled it
- Communication of Diagnostic Uncertainty in Primary Care and Its Impact on Patient Experience: an Integrative Systematic Review.Journal of general internal medicine · 2023Pooled it
- Lung Cancer Screening, Version 3.2018, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2018Guideline
- An official American Thoracic Society/American College of Chest Physicians policy statement: implementation of low-dose computed tomography lung cancer screening programs in clinical practice.American journal of respiratory and critical care medicine · 2015Guideline
- Patient-centered outcomes among lung cancer screening recipients with computed tomography: a systematic review.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2014Pooled it
- Guideline
- Factors that influence physician decision making for indeterminate pulmonary nodules.Annals of the American Thoracic Society · 2014Trial
- Communication of incidental findings in the ED: Patient perspectives.Patient education and counseling · 2026Article
- Urgent, but Not Certain: A Systematic Environmental Scan and Content Analysis of Publicly Available Patient Information for Suspected-Cancer Referral in England.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Do you Really Want to Know-Patient and Physician Attitudes of Physicians and English-Proficient Asian Patients toward Direct Release of Radiology Reports in Singapore.Journal of imaging informatics in medicine · 2026Article
- Clinicians' cancer risk assessment among patients with pulmonary nodules: a qualitative study.Annals of the American Thoracic Society · 2026Article
- Bridging the language gap in healthcare: assessing physicians' knowledge of simplified medical jargon in Arabic and their attitudes toward patient-physician communication training in Lebanese medical education.BMC medical education · 2026Observational
- Patients' experiences of, and psychological responses to, surveillance for pulmonary nodules detected through lung cancer screening.BMJ open respiratory research · 2025Article
- Prevalence and Clinical Impact of Incidental Findings on Preoperative Computed Tomography for Hip Arthroscopy.Orthopaedic journal of sports medicine · 2025Article
- Lung Cancer Screening and Incidental Findings: A Research Agenda: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2025Review
- Radiomics and artificial intelligence for risk stratification of pulmonary nodules: Ready for primetime?Cancer biomarkers : section A of Disease markers · 2025Review
- Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis.Scientific reports · 2024Article
- Rebuttal From Dr Kim et al.CHEST pulmonary · 2024Article
- Association of Lung Cancer Risk With the Presence of Both Lung Nodules and Emphysema in a Lung Cancer Screening Trial.World journal of oncology · 2024Article
- Distress and its influencing factors among Chinese patients with incidental pulmonary nodules: a cross-sectional study.Scientific reports · 2024Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundMore than 150,000 Americans each year are found to have a pulmonary nodule. Even more will be affected following the publication of the National Lung Screening Trial. Patient-doctor communication about pulmonary nodules can be challenging. Although most nodules are benign, it may take 2 to 3 years to rule out cancer. We sought to characterize patients’ perceptions of communication with their providers about pulmonary nodules.
methodsWe conducted four focus groups at two sites with 22 adults with an indeterminate pulmonary nodule. Transcripts were analyzed using principles of grounded theory.
resultsPatients described conversations with 53 different providers about the pulmonary nodule. Almost all patients immediately assumed that they had cancer when first told about the nodule. Some whose providers did not discuss the actual cancer risk or explain the evaluation plan experienced confusion and distress that sometimes lasted for months. Patients were frustrated when their providers did not address their concerns about cancer or potential adverse effects of surveillance (eg, prolonged uncertainty, radiation exposure), which in some cases led to poor adherence to evaluation plans. Patients found it helpful when physicians used lay terms, showed the CT image, and quantified cancer risk. By contrast, patients resented medical jargon and dismissive language.
conclusionsPatients commonly assume that a pulmonary nodule means cancer. What providers tell (or do not tell) patients about their cancer risk and the evaluation plan can strongly influence patients’ perceptions of the nodule and related distress. We describe simple communication strategies that may help patients to come to terms with an indeterminate pulmonary nodule.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.