仔细看看-我们在为谁进行肺癌查?
Kristine Galang1,2, Efstathia Polychronopoulou3, Gulshan Sharma1,2,4
1Department of Internal Medicine, University of Texas Medical Branch-Galveston, Galveston, TX.
在6例肺癌查中,多达1例可能会带来有限的益处. 这是因为患者不符合传统的标准或患有严重的慢性疾病,影响查的有效性.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 肺癌查 (LCS) 旨在早期发现癌症.
- 识别从LCS中获益最多的个人对于资源优化至关重要.
- 伴随性疾病和不遵守严格的标准可能会限制查的好处.
研究的目的:
- 为了描述经历LCS的个体.
- 鉴定可能因慢性疾病或并发症而从LCS中受益有限的患者.
主要方法:
- 美国大型临床数据库 (2019-2019) 的回顾性分析.
- 包括至少连续注册一年的患者.
- 基于严格的纳入标准 (年龄,以前的CT,癌症史) 和自由的标准 (如心脏/呼吸系统疾病等并发症) 的有限益处的评估.
主要成果:
- 分析了51551名患者;16.3%的人可能受益有限.
- 益处有限的原因包括年龄 (3.8%),之前的非皮肤恶性瘤 (28%) 和最近的CT扫描 (26.3%).
- 由于严重的呼吸道 (43.9%) 或心脏 (8.59%) 相关疾病,很大一部分人受益有限.
结论:
- 大约六分之一的LCS低剂量计算机断层扫描检查可能会带来有限的益处.
- 对于LCS的患者选择应考虑并发症和遵守风险标准.
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