Gouli Sugam, Mostafa Mariam, Ratnadai Yodsuwan, Strawderman Myla, Patel Anush, Bravin Eric
Internal Medicine, Bassett Medical Center, NY, USA.
Internal Medicine, Rochester Regional Health, NY, USA.
J Community Hosp Intern Med Perspect. 2025 Mar 7;15(2):1-5. doi: 10.55729/2000-9666.1458. eCollection 2025.
Lung cancer is the second most common cancer in the world. United States Preventive Services Task Force (USPSTF) has specific guidelines for lung cancer screening in high-risk individuals. Multiple studies including National Lung Cancer Screening trial (NLST) trial has shown reduction in lung cancer mortality with lung cancer screening. Most of these studies focus on the urban population and there are very few studies that have studied lung cancer screening in the rural US population.
This is a retrospective study reviewing patients that were diagnosed with lung cancer after undergoing lung cancer screening in a rural hospital network.
In our study, lung cancer detection rate was 2.96 % (74 cases out of 2500 cases screened). 63.3 % of cancer patients were diagnosed on stage I. The median household income was $50,262 which was below the average median household income for United States. The median pack years of the cancer patients was 50. Significant proportion of cancer patients were referred by either Nurse Practitioners or Physician Assistants (43 %) compared to physicians (57 %).
Lung Cancer Screening can play a pivotal role in detection of lung cancer at early stages in rural population.
肺癌是全球第二大常见癌症。美国预防服务工作组（USPSTF）针对高危人群的肺癌筛查制定了具体指南。包括国家肺癌筛查试验（NLST）在内的多项研究表明，肺癌筛查可降低肺癌死亡率。这些研究大多聚焦于城市人口，很少有研究针对美国农村人口的肺癌筛查展开。
这是一项回顾性研究，对在农村医院网络中接受肺癌筛查后被诊断为肺癌的患者进行了回顾。
在我们的研究中，肺癌检出率为2.96%（2500例筛查病例中有74例）。63.3%的癌症患者在I期被诊断出来。家庭收入中位数为50,262美元，低于美国家庭收入中位数平均水平。癌症患者的吸烟包年数中位数为50。与医生（57%）相比，相当比例的癌症患者是由执业护士或医师助理转诊的（43%）。
肺癌筛查在农村人口早期肺癌检测中可发挥关键作用。
