New guidelines from the American Gastroenterological Association on the management of incidental pancreatic cysts recommend less aggressive evaluation than previous recommendations from other groups. The guidelines are needed because the rapid growth in the number of sensitive imaging studies has led to a marked increase in incidental pancreatic cysts. This commentary discusses lessons extending beyond pancreatic cysts about how physicians should consider diagnostic testing and what types of recommendations merit their attention.
Ann Intern Med. Published online 25 March 2015 doi:10.7326/M15-0590