Longitudinal Assessment of Distress among Veterans with Incidental Pulmonary Nodules.

摘要: Rationale: Millions of patients are diagnosed with pulmonary nodules every year. Increased distress may be a common harm, but methods mitigating this unclear.Objectives: We aimed to determine whether high-quality communication regarding the discovery nodule is associated lower level patient distress.Methods: conducted prospective, repeated-measures cohort study 121 newly reported, incidentally detected nodules. The primary exposure was participant-reported quality nodule. Secondary exposures included measures participants’ values, preferences, and decision making. main outcome nodule-related measured using Impact Event Scale. used adjusted generalized estimating equations measure association between at least mild distress.Measurements Main Results: Most participants (57%) reported lea...