PT  - JOURNAL ARTICLE
AU  - Imran Hussain
AU  - Anthony A Fryer
AU  - Janina Barnett
AU  - Fahmy WF Hanna
TI  - The national Targeted Lung Health Checks programme: Focusing on the lungs does not mean missing adrenal lesions
AID  - 10.7861/clinmed.2020-0231
DP  - 2020 Sep 01
TA  - Clinical Medicine
PG  - e202--e203
VI  - 20
IP  - 5
4099  - http://www.rcpjournals.org/content/20/5/e202.short
4100  - http://www.rcpjournals.org/content/20/5/e202.full
SO  - Clin Med2020 Sep 01; 20
AB  - Recently, the UK’s national Targeted Lung Health Checks programme produced recommendations for the management of incidental findings identified during the scans performed as part of the lung cancer screening programme. We identified significant discrepancies between the recommendations for adrenal incidentaloma management and those currently implemented into UK practice (2016 European Society of Endocrinology guidelines).This may create conflict and confusion between referrers (respiratory clinicians) and receivers (endocrinologists), with potential negative impact on patients, delay and inefficient use of resources. We also address the potential cost implications of adopting a more vigilant approach as advised by the European Society of Endocrinology.Urgent multidisciplinary and unified guidelines should be established in the interest of clinical- and cost-effectiveness.