ArticleJournal of the American College of Radiology : JACR2020
Racial/Ethnic Disparities in Follow-Up Adherence for Incidental Pulmonary Nodules: An Application of a Cascade-of-Care Framework.
Article in Journal of the American College of Radiology : JACR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05738031 (Investigating Incidental Pulmonary Nodules in Underserved Communities), which is not on this map. Cited by 13 papers.
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.
Investigating Incidental Pulmonary Nodules in Underserved Communities
Who cites it
13 citing papers in PubMed, 33 citations in OpenAlex.
- Review
- Two-Year Lung Cancer Incidence Among Patients Who Receive a Radiologist Recommendation for Chest CT in Neck CT and MRI Reports.Journal of the American College of Radiology : JACR · 2026Observational
- Advancing the early detection of lung cancer: Outcomes of a surgeon-led lung nodule clinic in a distressed patient population.JTCVS open · 2026Article
- Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations.American journal of medicine open · 2025Article
- Predictors of Physician Agreement With Radiologist-Recommended Follow-up Imaging.Journal of the American College of Radiology : JACR · 2025Article
- Demographic bias of expert-level vision-language foundation models in medical imaging.Science advances · 2025Article
- Mediators of Racial Inequities in Non-Small Cell Lung Cancer Care.Cancer medicine · 2025Article
- Death by a thousand delays.JTCVS open · 2024Article
- Reducing Racial Disparities in the Timeliness of Potential Lung Cancer Evaluation With a Novel Application-Supported Rapid Outpatient Diagnostic Program: An Interrupted Time Series Analysis.Clinical lung cancer · 2023Article
- Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2023Article
- Predictors of Completion of Clinically Necessary Radiologist-Recommended Follow-Up Imaging: Assessment Using an Automated Closed-Loop Communication and Tracking Tool.AJR. American journal of roentgenology · 2023Article
- Racial Disparities in Adherence to Annual Lung Cancer Screening and Recommended Follow-Up Care: A Multicenter Cohort Study.Annals of the American Thoracic Society · 2022Article
- Racial disparities in provider-patient communication of incidental medical findings.Social science & medicine (1982) · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe aim of this study was to evaluate racial/ethnic disparities in follow-up adherence for incidental pulmonary nodules (IPNs) using a cascade-of-care framework, representing the multistage pathway from IPN diagnosis to timely follow-up adherence.
methodsA cohort of 1,562 patients diagnosed with IPNs requiring follow-up in a tertiary health care system in 2016 were retrospectively identified. Racial/ethnic disparities in follow-up adherence were examined by developing a multistep cascade-of-care model (provider communication, follow-up examination ordering and scheduling, adherence) to identify where patients were most likely to fall off the path toward adherence. Racial/ethnic adherence disparities were measured using descriptive statistics and multivariate modeling, controlling for sociodemographic, communication, and health characteristics.
resultsAmong 1,562 patients whose IPNs required follow-up, unadjusted results showed that nonwhite patients were less likely to meet each step on the cascade than White patients: for provider-patient IPN communication, 55% among Black patients and 80% among White patients; for follow-up ordering and scheduling, 42% and 41% among Black patients and 66% and 64% among White patients; and for timely adherence, 29% among Black patients and 54% among White patients. Adjusting for provider communication, sociodemographic, and health characteristics, Black patients had increased odds of never adhering to and delaying follow-up compared with White patients (odds ratios, 1.30 [95% confidence interval, 0.90-1.89] and 2.51 [95% confidence interval, 1.54-4.09], respectively).
conclusionsThese findings demonstrate substantial racial/ethnic disparities in IPN follow-up adherence that persist after adjusting for multiple characteristics. The cascade of care demonstrates where on the adherence pathway patients are at risk for falling off, enabling specific targets for health policy and clinical interventions. Radiologists can play a key role in improving IPN follow-up via increased patient care involvement.
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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.