下游程序对肺癌查的影响
Tina D Tailor1, Sarah Bell2, Ruth C Carlos3
1Cardiothoracic Radiology Fellowship Director; Research Director, Duke Lung Cancer Screening Program; and Associate Professor, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Journal of the American College of Radiology : JACR
|August 16, 2023
概括
肺癌查 (LCS) 后的下游程序可以降低重复查的坚持. 减少虚假阳性和患者成本对于保持LCS参与至关重要.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌查 (LCS) 旨在早期检测肺癌.
- 了解下游流程及其对查遵守的影响至关重要.
研究的目的:
- 在没有查检测到癌症的个体中评估LCS之后的下游程序.
- 为了确定重复LCS和下游程序/患者特征之间的关联.
主要方法:
- 分析了来自23640名接受30521次LCS检查的人员的非身份化数据.
- 在LCS后的诊断成像和侵入性手术的频率和成本评估.
- 概括估计方程建模用于重复LCS概率.
主要成果:
- 17.7%的LCS检查导致下游测试,最常见的是胸部CT.
- 下游诊断成像和侵入性手术与每年LCS重复的可能性降低有关.
结论:
- 在LCS之后的下游程序可能会成为继续查的障碍.
- 为了确保LCS遵守,需要尽量减少错误阳性和降低患者成本的策略.
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