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Cited by 35Adrenal and Paraganglionic TumorsRadiology practices and educationAdrenal Hormones and Disorders

Adrenal incidentaloma follow-up is influenced by patient, radiologic, and medical provider factors: a review of 804 cases

Maher, Dominic I., Williams, Evan, Grodski, Simon, Serpell, Jonathan W., Lee, James C.·2018·Surgery
DOI 10.1016/j.surg.2018.07.011
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Abstract

Background The majority of adrenal incidentalomas are benign, although some are large, functional, or malignant and may require surgery. Therefore all require follow-up. This study aimed to determine the pattern of adrenal incidentaloma follow-up in a level 1 trauma center, focusing on the factors that influence whether follow-up is facilitated.Methods Patients with computed tomography-detected adrenal incidentalomas between January 2010 and September 2015 were included. A keyword search identified case files, which were reviewed for demographic characteristics, managing unit, computed tomography indication and findings, and follow-up arrangements. Statistical analysis was performed using Stata SE Version 14.Results A total of 38,848 chest and abdominal computed tomographic scans were performed in the study period, revealing 804 patients with adrenal incidentalomas who met inclusion criteria (mean age 65, 58% male). The mean size of adrenal incidentaloma was 23 mm. Follow-up was organized in 30% of cases and was more likely to occur in younger patients (mean age 62 vs 66, P < .001); in larger lesions (mean size 26 mm vs 21 mm, P < .001); if the computed tomographic scan suggested follow-up (P < .001); or if the computed tomography report suggested a diagnosis (P < .001). Follow-up arrangements were most likely to be made by the trauma unit (39%, P = .01).Conclusion This study highlights that adrenal incidentalomas follow-up is often overlooked, and that follow-up is influenced by patient, radiologic, and medical provider factors. An adrenal lesion follow-up protocol may improve follow-up rates but requires further analysis.

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  • Over the last 2 decades, there has been a dramatic increase in the detection of AIs; series with contemporary high-resolution CT techniques report a prevalence close to that observed at autopsy.

    “Over the last 2 decades, there has been a dramatic increase in the detection of AIs; series with contemporary high-resolution CT techniques report a prevalence close to that observed at autopsy (Table 2 (36-44)).”

    From Adrenal incidentaloma (2020) · cites this paper as [37]

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Authors
Maher, D. I., Williams, E., Grodski, S., Serpell, J. W., & Lee, J. C.
Affiliations
The Alfred Hospital (AU)
Corresponding author
Maher, Dominic I.
ORCID
Venue
Surgery
Publisher
Elsevier BV
Published
2018-12
Volume
164
Issue
6
Pages
1360-1365
ISSN
0039-6060 (ISSN-L)
DOI
10.1016/j.surg.2018.07.011
OpenAlex
W2888787201
Cited by
35
References
12
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 5 · 2020: 3 · 2019: 2
FWCI
2.60
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
adrenal incidentaloma, follow-up care, follow-up rates, trauma centers, patient factors
MeSH terms
Adrenal Gland Neoplasms, Aftercare, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies

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