抓住机遇:试点干预改善肺癌查对接受乳腺查乳房扫描的妇女进行肺癌查
Lye-Yeng Wong1, Tiffany Yue2, Ghazal Aghagoli3
1Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
JTO clinical and research reports
|May 27, 2024
概括
接受查性乳房造影的女性不太可能自行推肺癌查 (LCS). 然而,提供者在乳房影像预约期间确定资格和教育,显著增加了患者对双重查的兴趣.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 查性乳房扫描为与符合条件的妇女讨论肺癌查 (LCS) 提供了一个独特的机会.
- 低水平的LCS吸收需要创新的策略来提高查率.
研究的目的:
- 评估患者自我推和提供者主导的资格识别的综合方法的有效性,以增加LCS吸收率.
- 评估患者对LCS教育材料的参与以及他们接受双重查的意愿.
主要方法:
- 开发LCS教育材料,以促进患者自我推.
- 对接受查性乳房镜检查的患者进行图表审查,以确定LCS资格.
- 通过定性调查和LCS采用率评估干预接受度.
主要成果:
- 在116名确定的患者中,34名 (29.3%) 符合LCS标准. 19名患者 (56%) 完成了LCS,其中3人 (16%) 在查中检测到结节.
- 100%的参与者认为共享决策是有帮助的; 67%的人表示未来可能会进行双重查.
- 患者自我推率为0%,但80%的人更喜欢信息材料. 24%的人失去了跟进或拒绝.
结论:
- 患者对LCS的自我推是无效的;主动的提供者主导的方法至关重要.
- 将LCS讨论整合到乳房镜预约中可以提高患者对双重查机会的反应.
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