0
Editorials |

Development of Guidelines for the Management of Pulmonary NodulesPulmonary Nodule Guidelines and Implementation: Toward Better Implementation

David R. Baldwin, MD
Author and Funding Information

From Nottingham University Hospitals, Respiratory Medicine Unit, David Evans Research Centre; and University of Nottingham.

CORRESPONDENCE TO: David R. Baldwin, MD, Nottingham University Hospitals NHS Trust, David Evans Respiratory Centre, Nottingham, NG5 1PB, England; e-mail: david.baldwin@nuh.nhs.uk


CONFLICT OF INTEREST: D. R. B. was co-chair of the Guideline Development Group of the 2015 British Thoracic Society Guidelines for the Investigation and Management of Pulmonary Nodules. He is also a National Institute for Health and Care Excellence Clinical Fellow.

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


Chest. 2015;148(6):1365-1367. doi:10.1378/chest.15-1906
Text Size: A A A
Published online

Extract

Guidelines encourage the utilization of best practice based on the latest evidence or expert consensus opinion. If used correctly they can drive changes to service provision that are important for patients and offer a confident, defensible foundation for the clinical health-care professional. Producing good, evidence-based clinical guidelines is an expensive process even when accounting for the fact that the clinical health-care professionals on the development groups do much of the work in their spare time. If a guideline is not subsequently used widely and correctly, the value of the whole exercise has to be questioned. If the uptake of recommendations is slow, they may be out of date by the time they are being used and even inhibit the adoption of more contemporary guidelines; it appears that this may apply to guidelines on the management of pulmonary nodules. A previous evaluation of the use of current pulmonary nodule guidelines found that 44.7% received care inconsistent with recommendations, and the strongest independent predictor of this was inappropriate advice given by the radiologist.1 Other studies have consistently shown poor adherence to pulmonary nodule guidelines.2-4

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543