ArticleAnnals of the American Thoracic Society2016
Longitudinal Assessment of Distress among Veterans with Incidental Pulmonary Nodules.
Article in Annals of the American Thoracic Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Shared decision-making in the management of pulmonary nodules: a systematic review of quantitative and qualitative studies.BMJ open · 2024Pooled it
- Pulmonary nodules: classification, biomarkers, signaling pathways, diseases, early diagnosis and management.Signal transduction and targeted therapy · 2026Review
- "I Was Expecting the Worst": Exploring Barriers and Facilitators to Lung Cancer Screening in Black and Hispanic Communities.Journal of general internal medicine · 2026Article
- Association of Communication With Smoking Attitudes and Behaviors Among Patients Undergoing Lung Cancer Screening: A Longitudinal Cohort Study.CHEST pulmonary · 2025Article
- Impact of surgery versus follow-up on psychological distress in patients with indeterminate pulmonary nodules: A prospective observational study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Observational
- Prevalence and Clinical Impact of Incidental Findings on Preoperative Computed Tomography for Hip Arthroscopy.Orthopaedic journal of sports medicine · 2025Article
- "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
- Patient-clinician communication and patient-centered outcomes among patients with suspected stage I non-small cell lung cancer: a prospective cohort study.Medical oncology (Northwood, London, England) · 2022Article
- Should psychological distress be listed as a surgical indication for indeterminate pulmonary nodules: protocol for a prospective cohort study in real-world settings.Journal of thoracic disease · 2022Article
- The Future of Lung Cancer Screening: Current Challenges and Research Priorities.Cancer management and research · 2022Review
- Patient Experience of Managing Adherence to Repeat Lung Cancer Screening.Journal of patient experience · 2022Article
- Coping, Anxiety, and Pain Intensity in Patients Requiring Thoracic Surgery.Journal of personalized medicine · 2021Article
- The person behind the nodule: a narrative review of the psychological impact of lung cancer screening.Translational lung cancer research · 2021Review
- Solitary pulmonary nodule imaging approaches and the role of optical fibre-based technologies.The European respiratory journal · 2021Review
- Discrimination between transient and persistent subsolid pulmonary nodules on baseline CT using deep transfer learning.European radiology · 2020Article
- Patient characteristics associated with adherence to pulmonary nodule guidelines.Respiratory medicine · 2020Article
- Article
- Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors.Thoracic cancer · 2020Article
- A Brief Report of Smoking Behaviors in Patients with Incidental Pulmonary Nodules: Associations with Communication and Risk Perception.Tobacco use insights · 2019Article
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleMillions of patients are diagnosed with pulmonary nodules every year. Increased distress may be a common harm, but methods of mitigating this distress are unclear.
objectivesWe aimed to determine whether high-quality communication regarding the discovery of a pulmonary nodule is associated with a lower level of patient distress.
methodsWe conducted a prospective, repeated-measures cohort study of 121 patients with newly reported, incidentally detected pulmonary nodules. The primary exposure was participant-reported quality of communication regarding the nodule. Secondary exposures included communication measures regarding participants' values, preferences, and decision making. The main outcome was nodule-related distress measured using the Impact of Event Scale. We used adjusted generalized estimating equations to measure the association between nodule communication quality and at least mild distress. MEASUREMENTS AND MAIN
resultsMost participants (57%) reported at least mild distress at least once. While average distress scores decreased over time, one-fourth still had elevated distress after 2 years of surveillance for a nodule. The average calculated risk of cancer at baseline was 10% (SD, 13%), but 52.4% believed they had a greater than 30% risk of lung cancer at baseline, and this percentage remained fairly constant at all visits. High-quality nodule communication was associated with decreased odds of distress (adjusted odds ratio, 0.42; 95% confidence interval, 0.24-0.73). Lower-quality communication processes regarding participants' values and preferences were also associated with increased odds of distress, but concordance between the actual and preferred decision-making roles was not.
conclusionsAmong patients with incidentally discovered pulmonary nodules, distress is common and persistent for about 25%. Many participants substantially overestimate their risk of lung cancer. Incorporating patients' values and preferences into communication about a pulmonary nodule and its evaluation may mitigate distress.
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