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Editorials |

Simultaneously Diagnosing and Staging Lung CancerDiagnosing and Staging Lung Cancer Simultaneously: A Win-Win for the Patient and the Health-Care System

Nichole T. Tanner, MD, MSCR; Gerard A. Silvestri, MD, FCCP
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina.

Correspondence to: Gerard A. Silvestri, MD, FCCP, Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, Ste 812 CSB, Charleston, SC 29425; e-mail: silvestri@musc.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(6):1747-1748. doi:10.1378/chest.13-1353
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Extract

In the 1950s, US Secretary of Defense Charles Wilson coined the phrase getting a “bigger bang for the buck.” The meaning is simple: When presented with a variety of options, choose the one that will provide the best value. This is true for physicians when faced with a diagnostic dilemma and a myriad of options from which to choose. The best first test for a patient often requires the physician to choose the one that provides maximal information with minimal risk. For common diseases, there often are evidence-based clinical practice guidelines (CPGs) that can provide direction for physicians. They are created by content area experts in collaboration with formally trained methodologists. Ultimately, however, they are only as good as the paper they are written on unless they can be widely disseminated and broadly implemented. But what happens when adherence to guideline-directed care is lacking? In this issue of CHEST (see page 1776), Almeida and colleagues1 provide a clear answer: Patients suffer.

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