改善肺癌筛查:通过烟草治疗诊所的公平策略。

Improving lung cancer screening: An equitable strategy through a tobacco treatment clinic.

作者信息

Galiatsatos Panagis, Schreiber Raiza, Green Kamala, Shah Rohan, Lee Hans, Feller-Kopman David, Yarmus Lonny, Thiboutot Jeffrey, Lin Cheng Ting, Kanarek Norma

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

The Johns Hopkins Tobacco Treatment Clinic, Johns Hopkins Bayview Medical Center, Baltimore, MD, United States.

出版信息

Prev Med Rep. 2021 Sep 17;24:101558. doi: 10.1016/j.pmedr.2021.101558. eCollection 2021 Dec.

Abstract

Annual screening with low dose chest tomography has been adopted for those at high risk to aid in the early detection of lung cancer. In addition to screening, it is recommended that such persons receive evidence-based smoking-cessation. However, both lung cancer screening and evidence-based smoking-cessation strategies are underutilized in the US. We review the impact of a dedicated Tobacco Treatment Clinic (TTC), delivering evidence-based smoking cessation strategies, on lung cancer screening enrollment. Patients of the TTC, aged 50 years or older, having a minimum 20-pack-year smoking history were included. All patients had records reviewed to see if they had received lung cancer screening; if their lung cancer screening was achieved through the TTC, this was documented as "initial screening" versus "continued screening or surveillance". Sociodemographic variables were collected as well. As for results, between January 2019 to February 2020, 92 patients enrolled in the TTC and fulfilled criteria for lung cancer screening. The mean age was 65.7 ± 8.3 years old, with 58 (63.0%) of the patients being female. Seventy-five (81.5%) patients were African American. Of the 92, 68 (73.9%) patients had lung cancer screening, with 51 patients receiving their first lung cancer screening scan through the TTC. In conclusion, through enrollment in a dedicated TTC, a significant proportion of patients were able to access lung cancer screening for the first time. Further, many of these patients were of minority status. Having a dedicated TTC may improve current health equity gaps in lung cancer screenings in certain US populations.

摘要

对于高危人群,已采用低剂量胸部断层扫描进行年度筛查,以帮助早期发现肺癌。除筛查外,建议此类人群接受循证戒烟治疗。然而,肺癌筛查和循证戒烟策略在美国的利用都不足。我们回顾了一家专门的烟草治疗诊所(TTC)实施循证戒烟策略对肺癌筛查登记的影响。纳入了年龄在50岁及以上、吸烟史至少20包年的TTC患者。所有患者的记录都经过审查,以查看他们是否接受过肺癌筛查;如果他们的肺癌筛查是通过TTC进行的,则记录为“初次筛查”与“继续筛查或监测”。还收集了社会人口统计学变量。至于结果,在2019年1月至2020年2月期间,92名患者登记加入了TTC并符合肺癌筛查标准。平均年龄为65.7±8.3岁,其中58名(63.0%)患者为女性。75名(81.5%)患者为非裔美国人。在这92名患者中,68名(73.9%)进行了肺癌筛查,其中51名患者通过TTC接受了首次肺癌筛查扫描。总之,通过登记加入专门的TTC,很大一部分患者能够首次进行肺癌筛查。此外,这些患者中有许多属于少数族裔。设立专门的TTC可能会改善美国某些人群目前在肺癌筛查方面的健康公平差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fa3/8683889/480826c8f2f3/gr1.jpg

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