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肺癌筛查的障碍。

Barriers to lung cancer screening.

作者信息

Rehman Sameer, Lim Mike, Sidhu Ranjit, Ramis Phil, Rohren Eric

机构信息

Desert Radiology/Radiology Partners, Las Vegas, USA; Radiology Partners Research Institute, California, USA.

Mountain View Hospital, Las Vegas, USA.

出版信息

Cancer Epidemiol. 2025 Feb;94:102722. doi: 10.1016/j.canep.2024.102722. Epub 2024 Dec 7.

Abstract

INTRODUCTION

Despite efforts to improve national lung cancer screening rates, only 4 % of eligible high-risk patients pursue this opportunity annually.

OBJECTIVE

The goal of this study was to better understand the system, provider, and patient-level barriers to lung cancer screening METHODS: 300 high-risk patients in the southern Nevada region who met the criteria for lung cancer screening were given a questionnaire during their outpatient visit for low dose chest CT from August 2023 through February 2024.

RESULTS

The most common reported barriers were absence of symptoms (38 %), not wishing to know that they had cancer (30 %), and not having awareness of the eligibility for CT screening (24 %).

CONCLUSION

A multifactorial approach is indicated to provide education for high-risk patients to clarify the importance of early diagnosis, demonstrate accessibility and low cost for lung cancer screening, and absolve any misconceptions about lung cancer screening.

摘要

引言

尽管一直在努力提高全国肺癌筛查率,但每年只有4%符合条件的高危患者抓住这个机会。

目的

本研究的目的是更好地了解肺癌筛查在系统、医疗服务提供者和患者层面的障碍。

方法

2023年8月至2024年2月期间,在内华达州南部地区,300名符合肺癌筛查标准的高危患者在门诊接受低剂量胸部CT检查时填写了一份问卷。

结果

报告的最常见障碍是无症状(38%)、不想知道自己患癌(30%)以及不知道自己符合CT筛查条件(24%)。

结论

需要采取多因素方法为高危患者提供教育,以阐明早期诊断的重要性,展示肺癌筛查的可及性和低成本,并消除对肺癌筛查的任何误解。

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