胸部外科医生协会 (2025) 专家共识文件关于屏幕检测肺结节的干预措施
Elliot Servais1, J W Awori Hayanga2, Philip Linden3
1Department of Thoracic Surgery, Lahey Hospital and Medical Center, Burlington, MA, United States; Department of Surgery, UMass Chan Medical School, Worcester, MA, United States.
新的指导方针为肺癌查 (LCS) 计划制定了质量标准. 这些标准的重点是通过多学科的护理和基于证据的计算机断层扫描 (CT) 查的术后实践来优化患者的结果.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 在瘤学瘤学.
背景情况:
- 计算机断层扫描 (CT) 肺癌查 (LCS) 已被证明可以降低死亡率并改善生存率.
- 审查了当代文献,以建立LCS计划的质量标准.
研究的目的:
- 为 LCS 项目制定围绕外科手术质量标准的共识建议.
- 为了优化接受LCS的患者的结果.
主要方法:
- 一个由胸部外科医生协会 (STS) 召集的多学科小组进行了文献审查.
- 修改后的Delphi流程被用来开发关于手术前程序,并发症率和多学科团队角色的共识陈述.
- 达成共识需要至少有75%的小组成员同意.
主要成果:
- 开发了23个共识声明,其中20个迅速达成共识.
- 没有组织诊断的手术是可接受的选择的患者使用最少的侵入性技术;没有诊断的肺切除术被拒绝.
- 为诊断和治疗程序定义了可接受并发症率的基准. 最终的切除应在12周内发生.
- 包括胸腔外科,瘤学,肺病学和放射学在内的多学科团队至关重要. 建议进行手术前的肺部康复和戒烟.
结论:
- STS共识为CT LCS程序提供了外科手术期间的质量标准.
- 这些标准支持共享决策,多学科的护理,并不断提高LCS的质量.
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