患者-提供者肺癌查讨论:对全国调查的分析
Niki Nourmohammadi1, Trinity Hsiao Pei Liang2, Gelareh Sadigh3
1Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA.
Clinical lung cancer
|March 24, 2024
概括
尽管更新了指南,但肺癌查 (LCS) 的讨论仍然很低. 患者门户的使用和目前的吸烟史增加了符合条件的个人之间的LCS讨论. 需要采取干预措施来改善LCS的吸收.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 在瘤学瘤学.
背景情况:
- 美国预防服务工作组 (USPSTF) 在2021年更新了肺癌查 (LCS) 建议,主张每年进行低剂量CT (LDCT) 扫描.
- 评估患者与医疗服务提供者关于LCS讨论的流行率对于了解查采用至关重要.
研究的目的:
- 评估患者与医疗服务提供者关于肺癌查 (LCS) 的讨论的发生率.
- 确定与LCS讨论相关的人口,临床和社会因素.
主要方法:
- 利用了2022年健康信息国家趋势调查 (HINTS) 周期6的数据.
- 分析了两个队列:潜在的LCS符合条件 (≥50岁,吸烟史) 和LCS不符合条件的个人.
- 采用多变量后勤回归来确定与LDCT相关的因素.
主要成果:
- 只有9.4%的潜在的LCS合格患者与他们的提供者讨论了查;19%的人不知道LDCT.
- 访问患者门户 (OR,4.25) 和当前吸烟状态 (OR,3.15) 与LCS讨论的增加有关.
- 在不符合LCS条件的个人中,个人癌症史 (OR,6.70) 和先前讨论结直肠癌查 (OR,5.74) 与LCS讨论有关.
结论:
- 尽管更新了USPSTF指南,但关于肺癌查的患者和医疗服务提供者的讨论仍然很低.
- 患者门户网站使用和吸烟史等因素影响LCS讨论率.
- 需要采取多层次的干预措施来克服障碍,并加强LCS的普及.
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