{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:05:50Z","timestamp":1785229550802,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The prevalence of adrenal incidentalomas is increasing, along with the incidence of functional or malignant lesions. This study assessed how imaging of adrenal incidentalomas at a tertiary hospital in Auckland, New Zealand, without a dedicated adrenal incidentaloma service, conformed to the American College of Radiology (ACR) recommendations for radiological screening, as well as how using a non\u2010washout imaging approach affected clinical and service outcomes. Secondary outcomes included determining how biochemical screening conformed to the European Society of Endocrinology (ESE) guidelines and patient\u2010related factors influencing completion of ACR screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective audit of adrenal incidentalomas was performed using a local healthcare database<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 10\u2009278 consecutive patients with computed tomography scans were evaluated. The overall prevalence of incidentalomas was 1.4%, and 143 lesions were detected. Of these, 65\/143 (45.5%) followed the ACR imaging guidelines, and 21\/143 (14.7%) followed the ESE guidelines. Older adults were 2.9 times less likely to complete ACR and ESE follow\u2010up compared to younger adults, while people with lesions &gt;4 cm versus \u22644 cm were more likely to complete ACR follow\u2010up. Only 11 patients were referred to endocrinology, and this subgroup had a significantly higher rate of ACR adherent evaluation (81.8% vs 12.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0002). Using a non\u2010washout method of radiological follow\u2010up resulted in 80 fewer scans.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most patients with adrenal incidentalomas did not receive guideline\u2010recommended imaging or biochemical follow\u2010up. The establishment of integrated adrenal incidentaloma clinics and the use of non\u2010washout follow\u2010up scans may improve both clinical outcomes and patient experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70451","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T21:05:13Z","timestamp":1778015113000},"page":"1157-1165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes and opportunities: evaluating an unselected cohort of patients with adrenal incidentaloma at a tertiary hospital in New Zealand"],"prefix":"10.1111","volume":"56","author":[{"given":"Anthony","family":"Benfell","sequence":"first","affiliation":[{"name":"Te Whatu Ora Waitemata  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liam","family":"Quinlan","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitemata  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunj","family":"Joshi","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitemata  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tej","family":"Joshi","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitemata  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2764-9980","authenticated-orcid":false,"given":"Shekhar","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Waitemata  Auckland New Zealand"},{"name":"School of Medicine University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Endotext (Internet)","author":"Chatzellis E","year":"2000"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/endrev\/bnaa008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp2031112"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvab180"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.05.001"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejendo\/lvad066"},{"key":"e_1_2_8_8_1","volume-title":"UpToDate. 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