Table 5.

Veterans’ concerns regarding pulmonary nodule communication and possible solutions

Concern	Possible Solutions
Inadequate understanding of nodule biology	Describe:
	• Causes of nodules
	• Risk of lung cancer
	• Rationale for active imaging surveillance rather than biopsy
Use of jargon	Use:
	• Plain and simple language
	• Pictures
Notification by letter	Notify in person or via telephone
Inadequate knowledge of follow-up plan	Provide:
	• Date of follow-up imaging study in writing
Inadequate knowledge of when to contact the primary care physician (PCP)	Provide:
	• List of signs and symptoms that should prompt contact
Inability to contact PCP or ask clarifying questions	Provide alternative means of obtaining information:
	• Written and/or online educational resources
	• Electronic communication methods