Table 1 Indications for primary care referral in 159 consenting participants from the West London screening pilot.

From: Implications of incidental findings from lung screening for primary care: data from a UK pilot

Indication for referral to primary care

Number of referrals to primary care

(proportion attending a LHC, %)

Obstructive spirometry with chronic cough or dyspnoea; no known diagnosis of chronic obstructive pulmonary disease (COPD) or asthma

55 (55/1542, 3.6%)

Moderate or severe coronary artery calcification on LDCT; not already taking lipid-lowering therapy and without known ischaemic heart disease

63 (63/1542, 4.1%)

Moderate or severe aortic valve calcification on LDCT

18 (18/1542, 1.2%)

Aortic aneurysms (referred only to primary care if not urgent/significantly enlarged)

4 (4/1542, 0.3%)

Severely dilated pulmonary artery suggestive of pulmonary hypertension

1 (1/1542, 0.06%)

Other imaging finding requiring further primary care investigation or referral

 

•Liver, adrenal, or renal lesions

4 (4/1542, 0.3%)

•Suspected pneumonia

1 (1/1542, 0.06%)

•Miscellaneous musculoskeletal findings

2 (2/1542, 0.1%)

Red flag symptoms

17 (17/1542, 1.1%)

Total number of referrals

165 (in 159 participants)