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British Thoracic Society quality standards for the investigation and management of pulmonary nodules
  1. David Baldwin1,
  2. Matthew Callister2,
  3. Ahsan Akram3,
  4. Paul Cane4,
  5. Jeanette Draffan5,
  6. Kevin Franks2,
  7. Fergus Gleeson6,
  8. Richard Graham7,
  9. Puneet Malhotra8,
  10. Philip Pearson9,
  11. Manil Subesinghe10,
  12. David Waller11 and
  13. Ian Woolhouse12
  1. 1 Nottingham University Hospitals, Nottingham, UK
  2. 2 St James’ University Hospital, Leeds, UK
  3. 3 Royal Infirmary of Edinburgh, Edinburgh, UK
  4. 4 St Thomas' Hospital, London, UK
  5. 5 North Tees & Harlespool NHS Trust, Stockton-on-Tees, UK
  6. 6 University of Oxford, Oxford, UK
  7. 7 Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
  8. 8 Whiston Hospital, Prescot, UK
  9. 9 Northampton General Hospital NHS Trust, Northampton, UK
  10. 10 King’s College London, London, UK
  11. 11 St Bartholomew’s Hospital, London, UK
  12. 12 University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Professor David Baldwin; david.baldwin{at}


Introduction The purpose of the quality standards document is to provide healthcare professionals, commissioners, service providers and patients with a guide to standards of care that should be met for the investigation and management of pulmonary nodules in the UK, together with measurable markers of good practice.

Methods Development of British Thoracic Society (BTS) Quality Standards follows the BTS process of quality standard production based on the National Institute for Health and Care Excellence process manual for the development of quality standards.

Results 7 quality statements have been developed, each describing a key marker of high-quality, cost-effective care for the investigation and management of pulmonary nodules, and each statement is supported by quality measures that aim to improve the structure, process and outcomes of healthcare.

Discussion BTS Quality Standards for the investigation and management of pulmonary nodules form a key part of the range of supporting materials that the Society produces to assist in the dissemination and implementation of guideline recommendations.

  • lung cancer

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  • BTS Quality Standards for the investigation and management of pulmonary nodules are endorsed by: Royal College of Physicians (RCP), Royal College of Radiologists (RCR), National Lung Cancer Forum for Nurses (NLCFN), Society for Cardiothoracic Surgery (SCTS), British Nuclear Medicine Society (BNMS).

  • Contributors DB and MC were the lead authors responsible for the overall editing and production of the document. All authors were responsible for the final approval of the document.

  • Competing interests All authors completed declarations of interest in line with the BTS Policy for Declarations of Interest, and forms are available on request from BTS Head Office.

  • Provenance and peer review Commissioned; internally peer reviewed.

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