• Chest · Jul 2020

    Review

    "How I Do It: Patient-centered, guideline-concordant discussion and management of pulmonary nodules".

    • Daniel C Wiener and Renda Soylemez Wiener.
    • VA Boston Healthcare System, Boston, MA; Division of Thoracic Surgery, Brigham & Women's Hospital, Boston, MA.
    • Chest. 2020 Jul 1; 158 (1): 416-422.

    AbstractProviding guideline-concordant management of pulmonary nodules can present challenges when a patient's anxiety about cancer or fear of invasive procedures colors judgment. The way in which providers discuss and make decisions about how to evaluate a pulmonary nodule can affect patient satisfaction, distress, and adherence to evaluation. This article discusses the complexity of tailoring patient-provider communication, decision-making, and implementation of guidelines for pulmonary nodule evaluation to the individual patient, emphasizing the importance of how information is conveyed and the value of listening to and addressing patients' concerns. We summarize the relevant guideline recommendations and literature, and provide two case scenarios to illustrate a patient-centered approach to discussing and managing pulmonary nodules from our perspectives as a pulmonologist and thoracic surgeon.Published by Elsevier Inc.

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