First do no harm in responding to incidental imaging findings.

Autor: Scott, Ian A, Slavotinek, John, Glasziou, Paul P
Zdroj: Medical Journal of Australia; Jan2024, Vol. 220 Issue 1, p7-9, 3p
Abstrakt: This article discusses the issue of incidental findings, or "incidentalomas," which are asymptomatic lesions that are accidentally detected during medical imaging for unrelated reasons. The increasing use of imaging tests, an aging population, and improved image resolution have led to a rise in incidentalomas. However, managing these findings can be challenging, as they can cause patient anxiety and lead to unnecessary investigations and overdiagnosis. The article explores the benefits and harms of detecting incidentalomas, examines current management guidelines, and proposes recommendations for minimizing low-value care associated with these findings. It emphasizes the importance of accurate risk prediction, consideration of benefit-harm trade-offs, patient preferences, and collaboration between radiologists and referring clinicians in managing incidentalomas. The article concludes by highlighting the need to prevent harm to patients and limit the opportunity costs of overinvestigation. [Extracted from the article]
Databáze: Supplemental Index