肺癌症状患者的诊断评估的变化
Lisa Maria Sele Sætre1, Kirubakaran Balasubramaniam2, Sonja Wehberg2
1Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark. lsele@health.sdu.dk.
NPJ primary care respiratory medicine
|November 21, 2025
概括
只有五分之一的肺癌症状患者完成了诊断评估. 胸部X射线 (CXR) 仍然是主要的成像选择,尽管胸部计算机断层扫描 (CT胸部) 的使用正在增加.
科学领域:
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
- 一般实践 一般实践
背景情况:
- 胸部计算机断层扫描 (CT胸部) 建议用于患有肺癌症状 (LCSs) 的高风险患者.
- 胸部X射线 (CXR) 经常使用,尽管CT胸部的建议.
- 一般医生 (GPs) 在初始患者评估中发挥着至关重要的作用.
研究的目的:
- 为了比较2012年和2022年LCS患者的诊断评估完成率.
- 分析吸烟状态,症状负担和初始成像选择之间的关联.
- 评估疑似肺癌成像方式选择的趋势.
主要方法:
- 基于人口的研究,使用2012年和2022年调查的个人随机样本.
- 链接到注册数据的综合医疗保健寻求信息.
- 多变量回归模型用于分析关联.
主要成果:
- 诊断成像完成率在2012年为24%,在2022年为22%.
- 最常见的初始成像选择是CXR (2012年为22%,2022年为15%).
- 作为第一选择的CT胸部从2%增加到7%;较高的症状负担和以前的吸烟与增加的成像完成相关.
结论:
- 对于LCSs的诊断评估完成率仍然低于最佳水平,大约五分之一的患者接受评估.
- 虽然CXR仍然是主要的初始成像方法,但CT胸部利用率正在增长.
- 在肺癌诊断中,全科医生需要加强风险分层和知情的成像方式选择的工具.
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