克服肺癌查的障碍,采用全系统的方法,额外关注未被查的人群
Michael R Gieske1, Jessica Kerns2, Gary M Schmitt3
1Lung Cancer Screening, St Elizabeth Healthcare, Ft. Mitchell, KY, USA.
Journal of medical screening
|October 19, 2023
概括
肯塔基州的肺癌查在13.2%的查人员中发现了早期癌症. 分析显示,许多符合条件的患者没有接受查,突出了改善早期肺癌检测的机会.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 圣伊丽莎白医疗中心于2013年启动了肺癌查计划,进行了超过33,000次低剂量计算机断层扫描 (LDCT) 扫描.
- 在2015-2021年期间,诊断出2595种肺癌;13.2%通过查检测到,而86.8%是在未查的个体中.
研究的目的:
- 审查肺癌查计划的经验及其对早期检测的影响.
- 识别查合格非查人员的障碍和失败.
主要方法:
- 利用QlikSense数据库和癌症患者数据和管理系统将患者分类为查或非查.
- 查和非查组之间的相对阶段分布.
- 根据年龄,吸烟史和电子病历数据,根据CMS 2015和USPSTF 2021标准评估未接受查的个人是否符合查资格.
主要成果:
- 与未接受查的患者相比,查的肺癌患者明显转向早期阶段.
- 对非查队列的分析确定了大量符合资格标准但未接受查的个人.
结论:
- 2021年,初级保健提供者网络中49.6%的符合条件的患者进行了查.
- 尽管查率取得了成功,但仍存在大量符合条件但未接受查的个人,这表明有可能进一步加强早期肺癌检测工作.
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