完成低剂量计算机断层扫描肺癌查的障碍
Lye-Yeng Wong1, Sania Choudhary1, Ntemena Kapula1
1Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Falk Building, Stanford, CA 94305.
Clinical lung cancer
|May 15, 2024
概括
障碍阻碍了肺癌查的完成,尽管有资格. 由于知识缺口和缺乏兴趣,许多高风险患者无法接受低剂量计算机断层扫描 (LDCT) 查.
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:
- 每年低剂量计算机断层扫描 (LDCT) 查可以降低高风险个体的肺癌死亡率.
- 通过LDCT进行早期检测对于改善患者的治疗结果至关重要.
- 肺癌查 (LCS) 资格标准旨在确定最有可能受益的人.
研究的目的:
- 评估符合条件的患者完成LDCT的障碍.
- 了解患者的知识,态度和对LCS的看法.
- 确定与LDCT完成相关的因素.
主要方法:
- 单一机构,混合方法,横截面研究.
- 与没有完成LDCT的患者进行的电话调查.
- 对患者人口统计和与LDCT完成相关的临床因素的分析.
主要成果:
- 87%的符合条件的患者完成了LDCT;13%没有完成.
- 完成的积极预测因素包括满足USPSTF指南,结婚,前吸烟状态和肺癌家族史.
- 只有7%的受访患者认为自己有高风险,10%的患者打算重新安排.
结论:
- 知识障碍,误解和患者不感兴趣阻碍了LDCT的完成.
- 共享决策访问并不完全解决患者对肺癌风险的理解.
- 需要采取干预措施来克服障碍并改善LCS遵守.
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