Russell P. Harris, MD, MPH
This article was published online first at www.annals.org on 30 March 2015.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0590.
Requests for Single Reprints: Russell P. Harris, MD, MPH, Cecil G. Sheps Center for Health Services Research, 725 Martin Luther King Boulevard, CB 7590, University of North Carolina, Chapel Hill, NC 27599; e-mail, firstname.lastname@example.org.
Author Contributions: Conception and design: R.P. Harris.
Analysis and interpretation of the data: R.P. Harris.
Drafting of the article: R.P. Harris.
Critical revision of the article for important intellectual content: R.P. Harris.
Final approval of the article: R.P. Harris.
Statistical expertise: R.P. Harris.
Administrative, technical, or logistic support: R.P. Harris.
Collection and assembly of data: R.P. Harris.
Harris R.; Incidental Findings in the Pancreas (and Elsewhere): Putting Our Patients (and Ourselves) in a Difficult Situation. Ann Intern Med. 2015;162:787-789. doi: 10.7326/M15-0590
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Published: Ann Intern Med. 2015;162(11):787-789.
The American Gastroenterological Association (AGA) has released new guidelines on the management of asymptomatic neoplastic pancreatic cysts (1). Although specialists generally make the decisions guided by these specific recommendations, the general problem of how to evaluate incidental findings will resonate with many generalists like me. The guidelines are needed because the rapid growth in the number of sensitive abdominal computed tomography (CT) and magnetic resonance imaging (MRI) studies (2), many of them ordered by generalists, has led to a marked increase in incidental pancreatic cysts (3, 4). The AGA has taken a bold and welcome stand in backing away from more aggressive previous recommendations—a stand that trends with many professional groups in seeking ways to reduce low-value care. Beyond the specific issue of pancreatic cysts, there are lessons here about how we should think about diagnostic testing and what types of recommendations merit our attention.
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Gastroenterology/Hepatology, Pancreatic Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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