成功地改善了接受乳腺查的妇女的肺部查入学率 - - CALM研究 (协调乳房扫描的肺部查)
Kim Lori Sandler1, Caroline M Godfrey2, Valerie Welty2
1Vanderbilt University Medical Center, Nashville, Tennessee; Cochair of the ACR Lung Screening Steering Committee; Imaging Chair, Thoraic Committee ECOG-ACRIN.
Journal of the American College of Radiology : JACR
|December 3, 2025
概括
肺癌查 (LCS) 的普及率在女性中显著增加,因为在乳房扫描期间确定了符合条件的候选人. 这一策略有效地提高了女性的肺癌查入学率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 放射学 放射学是一门学科.
背景情况:
- 肺癌是女性癌症死亡的主要原因,但肺癌查 (LCS) 的吸收仍然很低.
- 乳房扫描查提供了一个增加LCS资格识别和吸收的机会.
- 之前的研究表明,符合条件的女性乳房镜和LCS率之间存在显著的差异.
研究的目的:
- 通过乳房影像程序,评估识别有资格接受肺癌查 (LCS) 的妇女的有效性.
- 评估有针对性的宣传策略对提高符合条件的妇女中LCS入学率的影响.
主要方法:
- 在2019年11月至2022年12月期间,在两个学术医院对乳房镜参与者进行了LCS资格评估.
- 潜在的有资格妇女和他们的推提供者获得了外展,以确认资格并提供LCS.
- 患有转移性恶性瘤或已经患有LCS的妇女被排除在研究之外.
主要成果:
- 在32,165名乳房扫描参与者中,有1569名妇女 (4.9%) 符合LCS的条件,其中69%以前没有接受过查.
- 在研究期间,在这两所机构中,在妇女中LCS检查的显著增加被观察到.
- 在同一时期,男性的LCS扫描没有显著变化.
结论:
- 将LCS资格识别整合到乳房扫描查计划中是一个可行的策略,以增加肺癌查入学率.
- 实施的外展策略成功识别了符合条件的女性,并导致这一人口群体中LCS检查的显著增加.
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