Manners David, Wilcox Helen, McWilliams Annette, Piccolo Francesco, Liira Helena, Brims Fraser
Midland Physician Service, St John of God Public and Private Hospital, Perth, Western Australia, Australia.
School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Perth, Western Australia, Australia.
Intern Med J. 2018 Jan;48(1):78-80. doi: 10.1111/imj.13670.
Lung cancer screening with low dose computed tomography (LDCT) is recommended in the USA and Canada for high-risk smokers but not in Australia. We administered a cross-sectional survey to Western Australian general practitioners (GP). The majority (64/93, 69%) reported requesting a screening chest X-ray (42/93, 45%) and/or LDCT (38/93, 41%) in the past year. LDCT screening was more common if the GP had received education from radiology practices (odds ratio (OR) 2.81, P = 0.03) or if they believed screening is funded by the Medical Benefits Scheme (OR 3.57, P = 0.02). Lung cancer screening with LDCT is occurring outside a coordinated programme, contrary to Australian guidelines.
在美国和加拿大，低剂量计算机断层扫描（LDCT）肺癌筛查推荐用于高危吸烟者，但在澳大利亚并非如此。我们对西澳大利亚的全科医生（GP）进行了一项横断面调查。大多数（64/93，69%）报告称在过去一年中曾要求进行胸部X线筛查（42/93，45%）和/或LDCT筛查（38/93，41%）。如果全科医生接受过放射科的培训（优势比（OR）2.81，P = 0.03），或者他们认为筛查由医疗福利计划资助（OR 3.57，P = 0.02），LDCT筛查则更为常见。与澳大利亚指南相反，LDCT肺癌筛查正在一个协调项目之外进行。
