在肺癌查中报告偶然发现的优缺点
Roberta Eufrasia Ledda1,2, Gianluca Milanese3, Marie-Pierre Revel4,5
1Department of Medicine and Surgery (DiMeC), University of Parma, Parma, Italy.
偶然发现 (IF) 在肺癌查 (LCS) 中很常见. 管理这些发现需要平衡早期诊断的好处与过度诊断和过度治疗的风险,需要明确的指导方针.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 偶然发现 (IF) 经常在肺癌查 (LCS) 中被检测到.
- 这些发现带来了一个困境:早期诊断的可能性与过度诊断和过度治疗的风险相比.
- 目前缺乏基于证据的指导方针,用于LCS的IF管理.
研究的目的:
- 探讨在LCS中报告IF的优缺点.
- 专注于围绕LCS的IF管理的关键争议.
- 为LCS的IF制定平衡策略提供信息.
主要方法:
- 这项研究是一篇叙事性综述.
- 它综合了关于LCS的IF的当前知识.
- 它检查了投资基金报告的优缺点,突出了争议.
主要成果:
- 在LCS中报告IF是一个重要的辩论主题.
- 早期诊断重大疾病是检测IF的一个好处.
- 与FI相关的风险包括患者焦虑,过度诊断和过度治疗,以及医疗费用增加.
结论:
- 在LCS中有效的IF管理需要一个平衡的方法.
- 清晰的指导方针,标准化的报告和以患者为中心的沟通至关重要.
- 持续的研究对于优化LCS的IF管理策略至关重要,最大限度地提高效益,同时最大限度地减少危害.
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