Liu Dan, Huang Yan, Zhou Qinghua, Liu Lunxu, Che Guowei, Lu You, Xu Feng, Luo Feng, Bai Hongli, Li Weimin
Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Health Management Center, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2020 May 20;23(5):299-305. doi: 10.3779/j.issn.1009-3419.2020.103.06. Epub 2020 Apr 13.
Mortality of lung cancer can be decreased by early screening effectively. However, consistent and proficient standards & methods have not been established in China. This study was based on pulmonary nodules/lung cancer comprehensive management platform established by West China Hospital, Sichuan University. Early screening of pulmonary nodules was integrated into standard healthcare of lung cancer system, aiming to improve survivals of lung cancer patients.
Three cohorts were established: healthy populations, pulmonary nodules cohort and lung cancer patients cohort, and related clinical data will be collected and analyzed. Preliminary plan includes verifying effect of pulmonary nodules screening module.
Pulmonary nodules screening was performed in 2,836 employers (>40 years old) of West China Hospital. Lung cancers were diagnosed in 66 participants, all receiving surgery to remove the lesions. 65 of them were with early stage diseases, 1 with lung cancer and brain metastasis.
Proficient screening, follow-up and healthcare can be achieved via pulmonary nodules/lung cancer comprehensive management mode, which will be extended all over west China region in future.
早期筛查可有效降低肺癌死亡率。然而，我国尚未建立统一且成熟的标准和方法。本研究基于四川大学华西医院建立的肺结节/肺癌综合管理平台。将肺结节早期筛查纳入肺癌系统的规范医疗保健中，旨在提高肺癌患者的生存率。
建立了三个队列：健康人群队列、肺结节队列和肺癌患者队列，并收集和分析相关临床数据。初步计划包括验证肺结节筛查模块的效果。
对华西医院2836名年龄>40岁的在职人员进行了肺结节筛查。66名参与者被诊断为肺癌，均接受了手术切除病灶。其中65例为早期疾病，1例为肺癌伴脑转移。
通过肺结节/肺癌综合管理模式可实现专业的筛查、随访和医疗保健，未来将在整个西部地区推广。
