Systemwide Quality Improvement Increases Primary Care-Initiated Evaluation of Adrenal Incidentalomas

Following the implementation of a systemwide quality improvement (QI) program, researchers assessed the management of incidental adrenal masses (IAMS) in 437 patients from January 2018 to December 2019. The QI intervention included various strategies such as providing chart-based messages, emails to primary care providers (PCPs), standardized recommendations, and access to a multispecialty adrenal clinic. The study found that the QI cohort had a significantly higher rate of PCP-initiated evaluations for IAMS compared to the historical cohort (35.5% vs. 27.6%). The intervention was associated with an increased likelihood of PCP-initiated IAMS evaluations. Adrenal surgery rates did not significantly differ between the cohorts.