ArticleAnnals of the American Thoracic Society2013
What the heck is a "nodule"? A qualitative study of veterans with pulmonary nodules.
Article in Annals of the American Thoracic Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Shared decision-making in the management of pulmonary nodules: a systematic review of quantitative and qualitative studies.BMJ open · 2024Pooled it
- 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 Lung Cancer Screening Results: A National Survey of Veterans Health Administration Facilities.CHEST pulmonary · 2025Article
- Patients' experiences of, and psychological responses to, surveillance for pulmonary nodules detected through lung cancer screening.BMJ open respiratory research · 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
- "We're on the Same Team": A Qualitative Study on Communication and Care Coordination Surrounding the Requirement to Quit Smoking Prior to Elective Orthopedic Surgery.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis.Scientific reports · 2024Article
- Article
- Distress and its influencing factors among Chinese patients with incidental pulmonary nodules: a cross-sectional study.Scientific reports · 2024Article
- Article
- Engaging veteran stakeholders to identify patient-centred research priorities for optimizing implementation of lung cancer screening.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- The Effect of a Dedicated Lung Mass Clinic on Lung Nodule Follow Up.Annals of public health & epidemiology · 2022Article
- Classification of patient- and clinician-generated secure messages using a theory-based taxonomy.Health science reports · 2021Article
- Article
- Differences in the clinical management of women and men after detection of a solitary pulmonary nodule in clinical practice.European radiology · 2020Article
- Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors.Thoracic cancer · 2020Article
- The Quality of Life of Patients with Suspected Lung Cancer before and after Bronchoscopy and the Effect of Mirtazapine on the Depressive Status.Internal medicine (Tokyo, Japan) · 2020Article
- Impact of an Onsite Endobronchial Ultrasound Program on the Time to Treatment of Cancer in Veterans.Annals of lung cancer · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 1 country.
Funding
Abstract
rationaleEvery year, hundreds of thousands of patients are diagnosed with incidentally detected pulmonary nodules, and if lung cancer screening is widely implemented, thousands more will be identified. The psychosocial outcomes associated with incidental nodule detection in general practice settings are virtually unknown.
objectivesThe purpose of this study was to explore the experiences of patients with incidentally diagnosed pulmonary nodules.
methodsWe conducted qualitative interviews of 19 veterans with incidentally detected pulmonary nodules. We used qualitative description for the analysis, focusing on patients' information exchange and other communication behaviors with their clinicians. MEASUREMENTS AND MAIN
resultsThe patients were cared for by primary care clinicians and had small nodules that were unlikely to be malignant. Patients did not understand the term "nodule" although they knew it was related to cancer. They also did not understand the follow-up plan and most were unable to obtain better information from their clinician or other sources. Most patients experienced nodule-related distress that was usually mild, although sometimes severe. This distress was sometimes mitigated by patients' confidence in their clinician. Most patients wanted more and better information about their nodule.
conclusionsVeterans from one hospital have little understanding of what nodules are, the likelihood of malignancy, and the follow-up plan. Their reaction to this knowledge deficit is variable and is likely related to preferred communication behaviors with their clinician. Evaluating communication in other settings is important to confirm these findings and to refine mechanisms to improve patient-centered care for those with incidentally detected pulmonary nodules.
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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.