[Incidental Pulmonary Nodule Follow-up Clinic: A Progress Report on Efficacy and Safety Indicators]

Bussières S
Record ID 32018014547
French
Original Title: Clinique de suivi des nodules pulmonaires découverts fortuitement : rapport d'étape sur le choix des indicateurs d'efficacité et de sécurité
Authors' objectives: Up to 11.5% of incidentally discovered pulmonary nodules (IPN) may prove to be neoplastic, yet appropriate radiological follow-up is currently performed in only about 29% of cases at the Quebec Heart and Lung Institute – Laval University (Institute), which conducts 12,000 thoracic CT scans annually. To structure patient management, the Institute established a follow-up clinic for IPN led by a clinical nurse. This report (Part 1 of a two-part project) aimed to identify indicators for evaluating the impact of this clinic on the quality, efficacy, and safety of patient care.
Authors' results and conclusions: The indicators identified cover patient characteristics, time to care, adherence to recommendations, nodule characteristics, diagnostic follow-up, and safety indicators (adverse events, mortality). These indicators will serve as the basis for Part 2 of the project, which will measure the clinic's actual impact on lung cancer diagnosis and stage.
Authors' methods: A literature review conducted in Medline and Embase identified 1,056 documents, of which 58 were retained after eligibility assessment. Twelve non-randomized observational studies (8 retrospective, 3 prospective) and one targeted review, conducted between 2009 and 2024 (primarily in the United States), were included.
Details
Project Status: Completed
URL for project: https://www.iucpq.ca/a-propos-de-nous/excellence/evaluation-des-technologies-et-modes-dintervention-en-sante/
Year Published: 2025
URL for published report: https://www.iucpq.ca/app/uploads/2025/06/RAP_clinique_nodule_06-2025.pdf
English language abstract: An English language summary is available
Publication Type: Rapid Review
Country: Canada
Province: Quebec
MeSH Terms
  • Multiple Pulmonary Nodules
  • Solitary Pulmonary Nodule
  • Incidental Findings
  • Adenocarcinoma
  • Lung Neoplasms
  • Diagnostic Imaging
  • Bronchoscopy
Contact
Organisation Name: Institut universitaire de cardiologie et de pneumologie de Québec – Université Laval (IUCPQ-ULaval)
Contact Address: 2725, chemin Sainte-Foy Québec QC G1V 4G5
Contact Name: uetmis.iucpq@ssss.gouv.qc.ca
Contact Email: uetmis.iucpq@ssss.gouv.qc.ca
Copyright: Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.