A large retrospective audit is recommended to:
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Understand how patient and nodule characteristics impact on malignancy prevalence and disease progression.
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Understand current practice regarding clinical management of people with intermediate-risk lung nodules.
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Determine the clinical consequences of CT surveillance, including the likelihood of disease progression during CT surveillance.
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Determine the likelihood and impact of unnecessary biopsy or resection of indolent and benign nodules
If existing data on these points is limited or not routinely collected, a prospective data collection should be undertaken to obtain it.