Evidence map›Paper›PMID 26923625›Full record

ArticleChest2016

Evaluation of Pulmonary Nodules: Clinical Practice Consensus Guidelines for Asia.

Chunxue Bai, Chang-Min Choi, Chung Ming Chu, Devanand Anantham, James Chung-Man Ho, Ali Zamir Khan, Jang-Ming Lee, Shi Yue Li, Sawang Saenghirunvattana, Anthony Yim

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Chest, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 4 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 4 syntheses or guidelines pooled it, 223 citations in OpenAlex.

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77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 7 countries.

Chunxue BaiPulmonary Medicine Department, Zhongshan Hospital, Fudan University, Shanghai Respiratory Research Institute, Shanghai, China. Electronic address: bai.chunxue@zs-hospital.sh.cn.
Chang-Min ChoiDepartment of Pulmonary and Critical Care Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea.
Chung Ming ChuRespiratory Medicine, United Christian Hospital, Kwun Tong, Hong Kong SAR, China.
Devanand AnanthamRespiratory Medicine and Critical Care Medicine, Singapore General Hospital, Singapore.
James Chung-Man HoRespiratory Medicine, University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.
Ali Zamir KhanMinimally Invasive and Robotic Thoracic Surgery, Medanta The Medicity, Gurgaon, India.
Jang-Ming LeeThoracic Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Shi Yue LiRespiratory Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Sawang SaenghirunvattanaRespiratory Medicine, Bangkok Hospital Medical Center, Bangkok Hospital Group, Bangkok, Thailand.
Anthony YimMinimally Invasive Thoracic Surgery Centre, Hong Kong SAR, China.
Bangkok Hospital · THFirst Affiliated Hospital of Guangzhou Medical University · CNFudan University · CNMedanta The Medicity · INNational Taiwan University Hospital · TWSingapore General Hospital · SGUnited Christian Hospital · CNUniversity of Hong Kong · HKUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmerican College of Chest Physicians (CHEST) clinical practice guidelines on the evaluation of pulmonary nodules may have low adoption among clinicians in Asian countries. Unique patient characteristics of Asian patients affect the diagnostic evaluation of pulmonary nodules. The objective of these clinical practice guidelines was to adapt those of CHEST to provide consensus-based recommendations relevant to practitioners in Asia.

methodsA modified ADAPTE process was used by a multidisciplinary group of pulmonologists and thoracic surgeons in Asia. An initial panel meeting analyzed all CHEST recommendations to achieve consensus on recommendations and identify areas that required further investigation before consensus could be achieved. Revised recommendations were circulated to panel members for iterative review and redrafting to develop the final guidelines.

resultsEvaluation of pulmonary nodules in Asia broadly follows those of the CHEST guidelines with important caveats. Practitioners should be aware of the risk of lung cancer caused by high levels of indoor and outdoor air pollution, as well as the high incidence of adenocarcinoma in female nonsmokers. Furthermore, the high prevalence of granulomatous disease and other infectious causes of pulmonary nodules need to be considered. Therefore, diagnostic risk calculators developed in non-Asian patients may not be applicable. Overall, longer surveillance of nodules than those recommended by CHEST should be considered.

conclusionsTB in Asia favors lesser reliance on PET scanning and greater use of nonsurgical biopsy over surgical diagnosis or surveillance. Practitioners in Asia are encouraged to use these adapted consensus guidelines to facilitate consistent evaluation of pulmonary nodules.

Indexed as

Practice Guidelines as TopicAdenocarcinomaAir PollutionAir Pollution, IndoorAsiaBiopsyGranulomaHumansLung NeoplasmsMultiple Pulmonary NodulesPositron Emission Tomography Computed TomographyPulmonary MedicineRadiography, ThoracicSolitary Pulmonary NoduleThoracic SurgeryTomography, X-Ray ComputedAsiadiagnosislung neoplasmsperipheral pulmonary nodulessolitary pulmonary nodules

Identifiers

PMID26923625
OpenAlexW2288157239

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.