Spots Global Cancer Trial Database for The Watch the Spot Trial

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Trial Identification

Brief Title: The Watch the Spot Trial

Official Title: The Watch the Spot Trial: A Pragmatic Trial of More Versus Less Intensive Strategies for Active Surveillance of Patients With Small Pulmonary Nodules

Study ID: NCT02623712

Conditions

Solitary Pulmonary Nodule

Coin Lesion, Pulmonary

Lung Neoplasms

Carcinoma, Non-small-cell Lung

Interventions

More Frequent Surveillance Strategy

Less Frequent Surveillance Strategy

Study Description

Brief Summary: This study will compare two clinically accepted protocols for surveillance imaging in individuals who are found to have a small pulmonary nodule on chest computed tomography (CT) scans.

Detailed Description: The investigators will conduct an unblinded, prospective, pragmatic, cluster-randomized, comparative effectiveness trial of more intensive versus less intensive CT surveillance of patients found to have small pulmonary nodules in diverse health care settings. The goal of this pragmatic clinical trial is to identify the surveillance strategy that will maximize early diagnosis for individuals with cancerous nodules, while minimizing unnecessary surveillance of patients without cancer that can result in emotional stress, exposure to harmful ionizing radiation, and the discovery of incidental findings that may lead to unnecessary treatment.