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约克郡肺部查试验 (YLST) 途径导航研究:一个嵌套随机对照试验的协议,以评估途径导航干预对肺癌查吸收的影响

Daisy McInnerney¹, Irene Simmonds², Neil Hancock²

¹Wolfson Institute of Population Health, Queen Mary University, London, UK d.mcinnerney@qmul.ac.uk.

|July 10, 2024

概括

路径导航 (PN) 改善了无反应患者的肺癌查吸收率. 这种干预有助于克服障碍,增加参与肺癌查计划.

科学领域:

公共卫生公共卫生
在瘤学瘤学.
医疗保健服务研究医疗服务研究

背景情况:

肺癌是全球癌症死亡的主要原因之一.
社会经济和与吸烟有关的差异影响了肺癌查参与.
途径导航 (PN) 旨在减少医疗保健接入障碍.

研究的目的:

评估路径导航干预是否会增加以前不响应患者的肺癌查参与率.
在约克郡肺部查试验 (YLST) 中,将PN与通常护理 (书面邀请) 进行比较.

主要方法:

一个嵌套的随机对照试验在YLST.
55-80岁的参与者,没有响应之前的邀请,随机分配到PN或常规护理.
PN涉及经过训练的航海员通过电话进行风险评估和障碍解决.

主要成果:

主要结果:接受电话风险评估和LDCT扫描的人数.
二次结果:资格,查检测的癌症,成本和过程评估.
分析包括对主要结果的后勤回归和对定性数据的专题分析.

结论:

该研究将确定PN在改善肺癌查吸收方面的有效性.
研究结果将为实施有针对性的肺癌查计划提供信息.
这项研究解决了查参与中的不平等问题.

关键词:

健康公平卫生公平肺部疾病肺部疾病进行大规模查.患者导航患者导航呼吸道瘤呼吸道瘤

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