Grondin Sean C, Edwards Janet P, Rocco Gaetano
Department of Surgery, Foothills Medical Centre, University of Calgary, 1403 29th Street Northwest, Room G 33 D, Calgary, Alberta T2N 2T9, Canada.
Department of Surgery, Foothills Medical Centre, University of Calgary, 1403 29th Street Northwest, Room G 33 D, Calgary, Alberta T2N 2T9, Canada.
Thorac Surg Clin. 2015 May;25(2):175-84. doi: 10.1016/j.thorsurg.2014.11.004. Epub 2015 Jan 28.
To understand the challenges of screening for lung cancer, surgeons should be familiar with fundamental epidemiologic concepts pertaining to screening and have an understanding of the evidence regarding the various modalities used for screening lung cancer. One large, recent study has confirmed that screening for lung cancer with low-dose computed tomography decreases mortality in high-risk individuals. As a result of these findings, comprehensive screening programs are being developed. High-quality programs should be safe, cost-effective, accessible to high-risk patients, and involve the participation of a multidisciplinary team. Surgeons should be engaged in the implementation of screening programs for lung cancer.
为了理解肺癌筛查面临的挑战，外科医生应熟悉与筛查相关的基本流行病学概念，并了解用于肺癌筛查的各种方式的证据。最近一项大型研究证实，低剂量计算机断层扫描筛查肺癌可降低高危人群的死亡率。基于这些发现，正在制定全面的筛查计划。高质量的计划应具备安全性、成本效益，高危患者可及，并要有多学科团队的参与。外科医生应参与肺癌筛查计划的实施。
