RT Journal Article
SR Electronic
T1 The national Targeted Lung Health Checks programme: Focusing on the lungs does not mean missing adrenal lesions
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP e202
OP e203
DO 10.7861/clinmed.2020-0231
VO 20
IS 5
A1 Imran Hussain
A1 Anthony A Fryer
A1 Janina Barnett
A1 Fahmy WF Hanna
YR 2020
UL http://www.rcpjournals.org/content/20/5/e202.abstract
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.