Imperial College London
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Professor Anand Devaraj

Faculty of Medicine, National Heart & Lung Institute

Professor of Practice (Thoracic Radiology)
 
 
 
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Contact

 

anand.devaraj Website

 
 
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Location

 

South BlockRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bartlett:2021:10.1038/s41533-021-00246-8,
author = {Bartlett, E and Belsey, J and Derbyshire, J and Morris, K and Chen, M and Addis, J and Martins, M and Ridge, CA and Desai, SR and Mirsadraee, S and Padley, S and Whiteside, S and Vaghani, P and Morjaria, JB and Kemp, SV and Devaraj, A},
doi = {10.1038/s41533-021-00246-8},
journal = {npj Primary Care Respiratory Medicine},
title = {Implications of incidental findings from lung screening for primary care: data from a UK pilot},
url = {http://dx.doi.org/10.1038/s41533-021-00246-8},
volume = {31},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Regional lung cancer screening (LCS) is underway in England, involving a “lung health check” (LHC) and low-dose CT scan for those at high risk of cancer. Incidental findings from LHCs or CTs are usually referred to primary care. We describe the proportion of participants referred from the West London LCS pilot to primary care, the indications for referral, the number of general practitioner (GP) attendances and consequent changes to patient management, and provide an estimated cost-burden analysis for primary care. A small proportion (163/1542, 10.6%) of LHC attendees were referred to primary care, primarily for suspected undiagnosed chronic obstructive pulmonary disease (55/163, 33.7%) or for QRISK® (63/163, 38.7%) assessment. Ninety one of 159 (57.2%) participants consenting to follow-up attended GP appointments; costs incurred by primary care were estimated at £5.69/LHC participant. Patient management changes occurred in only 36/159 (22.6%) referred participants. LHCs result in a small increase to primary care workload provided a strict referral protocol is adhered to. Changes to patient management arising from incidental findings referrals are infrequent.
AU  - Bartlett,E
AU  - Belsey,J
AU  - Derbyshire,J
AU  - Morris,K
AU  - Chen,M
AU  - Addis,J
AU  - Martins,M
AU  - Ridge,CA
AU  - Desai,SR
AU  - Mirsadraee,S
AU  - Padley,S
AU  - Whiteside,S
AU  - Vaghani,P
AU  - Morjaria,JB
AU  - Kemp,SV
AU  - Devaraj,A
DO  - 10.1038/s41533-021-00246-8
PY  - 2021///
SN  - 2055-1010
TI  - Implications of incidental findings from lung screening for primary care: data from a UK pilot
T2  - npj Primary Care Respiratory Medicine
UR  - http://dx.doi.org/10.1038/s41533-021-00246-8
UR  - http://hdl.handle.net/10044/1/89577
VL  - 31
ER  -
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