About: Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report

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About: Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report
Creator	Mazzone, Peter Chen, Alexander Kanne, Jeffrey Arenberg, Douglas Bch, David Choi, Humberto Detterbeck, Frank Farjah, Farhood Fong, Kwun Gould, Michael Iaccarino, Jonathan Janes, Samuel Kazerooni, Ella Macmahon, Heber Naidich, Charles Patricia, Powell, Suhail Raoof, M Rivera, Nichole Silvestri, Soylemez Wiener, Gerard Tanner, Lynn Tanoue, Alain Tremblay, Anil Vachani, Charles White, Renda
Source	PMC
abstract	This article is being simultaneously published by CHEST, Radiology: Imaging Cancer, and the Journal of the American College of Radiology. © 2020 The American College of Chest Physicians, published by Elsevier Inc; RSNA; and The American College of Radiology, published by Elsevier Inc. BACKGROUND: The risks from potential exposure to COVID-19, and resource reallocation that has occurred to combat the pandemic, have altered the balance of benefits and harms that informed current (pre-COVID-19) guideline recommendations for lung cancer screening and lung nodule evaluation. We developed consensus statements to guide clinicians managing lung cancer screening programs and patients with lung nodules during the COVID-19 pandemic. METHODS: An expert panel of 24 members, including pulmonologists (17), thoracic radiologists (5), and thoracic surgeons (2) was formed. The panel was provided with an overview of current evidence, summarized by recent guidelines related to lung cancer screening and lung nodule evaluation. The panel was convened by video teleconference to discuss then vote on statements related to 12 common clinical scenarios. A pre-defined threshold of 70% of panel members voting agree or strongly agree was used to determine if there was a consensus for each statement. Items that may influence decisions were listed as notes to be considered for each scenario. RESULTS: Twelve statements related to baseline and annual lung cancer screening (2), surveillance of a previously detected lung nodule (5), evaluation of intermediate and high risk lung nodules (4), and management of clinical stage I non-small cell lung cancer (1) were developed and modified. All 12 statements were confirmed as consensus statements by voting results. The consensus statements provide guidance about situations where it was felt to be appropriate to delay screening, defer surveillance imaging of lung nodules, and minimize non-urgent interventions during the evaluation of lung nodules and stage I non-small cell lung cancer. CONCLUSIONS: There was consensus that during the COVID-19 pandemic it is appropriate to defer enrollment in lung cancer screening and modify the evaluation of lung nodules due to the added risks from potential exposure and the need for resource reallocation. There are multiple local, regional, and patient related factors that should be considered when applying these statements to individual patient care.
has issue date	2020-04-23(xsd:dateTime)
bibo:doi	10.1148/rycan.2020204013
has license	no-cc
sha1sum (hex)	1215b845ae7e992fdce5e597a6f2f91d2aeca7d6
schema:url	https://doi.org/10.1148/rycan.2020204013
resource representing a document's title	Management of Lung Nodules and Lung Cancer Screening During the COVID-19 Pandemic: CHEST Expert Panel Report
has PubMed Central identifier	PMC7233408
schema:publication	Radiol Imaging Cancer
resource representing a document's body	covid:1215b845ae7e992fdce5e597a6f2f91d2aeca7d6#body_text
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