在急诊室患者中增加肺癌查的使用:试点研究
David H Adler1, Nancy Wood1, Kevin Fiscella2
1Department of Emergency Medicine, University of Rochester, Rochester, New York.
The Journal of emergency medicine
|June 5, 2024
概括
紧急部门 (ED) 的干预可以增加高风险患者的肺癌查 (LCS) 吸收率. 一项试点研究表明可行性,有24%的人接受查,这表明有可能减少肺癌死亡率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌是美国癌症死亡的主要原因之一.
- 肺癌查 (LCS) 已被证明可以降低死亡率.
- 紧急诊所 (ED) 服务于肺癌风险较高的人群.
研究的目的:
- 评估识别和转诊ED患者LCS的可行性.
- 评估旨在增加LCS吸收的短信干预措施.
- 为了确定LCS吸收率和患者对干预措施的看法.
主要方法:
- 一项随机临床试验与符合LCS的ED患者进行.
- 参与者被随机分配到基本推或推加短信干预.
- 150天后的随访评估了LCS吸收,障碍和干预感知.
主要成果:
- 198名符合条件的患者被随机分配;24%的随访数据获得LCS (11%的总随机).
- 在研究组之间,查率相似.
- 短信干预显著改善了对LCS的规范性感知 (p=0.015).
结论:
- 基于ED的干预措施在操作上是可行的,以增加LCS吸收率.
- 一个可扩展的基于ED的策略可能会降低肺癌死亡率.
- 对优化基于ED的LCS干预措施的进一步研究是有必要的.
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