患有肺癌高风险的住院妇女的患病率
Jerome Gnanaraj1, Sardar H Ijaz2, Waseem Khaliq1
1Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Postgraduate medicine
|September 29, 2023
概括
吸烟的住院妇女中,近一半的吸烟妇女患肺癌的风险很高. 尽管已证明有好处,但肺癌查的利用率仍然很低,即使对其他常见的癌症也是如此.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 放射学 放射学是一门学科.
背景情况:
- 低剂量计算机断层扫描 (CT) 查可使高风险个体的肺癌死亡率降低20%.
- 肺癌查的利用率仍然很低,尽管已经证明了死亡率的好处.
研究的目的:
- 确定住院妇女中肺癌高风险个体的患病率.
- 为了评估这个人群中的肺癌查行为.
- 在住院期间评估其他常见癌症的查行为.
主要方法:
- 对248名年龄在50-75岁,有吸烟史的没有癌症的住院妇女进行了横截面研究.
- 床边调查收集了社会人口统计数据,癌症查行为和并发症.
- 基于肺癌风险的统计分析 (t-测试,Chi-square) 进行了组对比.
主要成果:
- 43%的参与者处于中高风险的肺癌.
- 高风险女性是年长的,白人,退休的,残疾的,并有更多的并发病.
- 对乳腺癌和结肠直肠癌查指南的遵守在各个风险组中是相似的;只有38%的高风险女性最近进行了CT胸部扫描.
结论:
- 报告吸烟的住院妇女经常面临肺癌的高风险.
- 对肺癌查和其他癌症查的遵守率低,突出显示了预防性护理的关键差距.
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