Estimating the Impact of Asthma and COPD on Lung Cancer Screening in the USA.

IF 4.6 2区医学 Q1 RESPIRATORY SYSTEM

Lung Pub Date : 2024-11-27 DOI:10.1007/s00408-024-00771-6

Natalia Nielsen, Zack Ballinger, Blanca Muñoz Villarreal, Lara Kovell, Mayuko Ito Fukunaga, Maira Castañeda-Avila

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引用次数: 0

Abstract

Objectives: Examine the association of asthma, COPD, and Asthma-COPD overlap (ACO) on rates of lung cancer screening.

Methods: 2022 Behavior and Risk Factors Surveillance Survey was used for cross-sectional analysis of self-reported lung cancer screening prevalence in those with COPD, asthma, and ACO, with stratification by smoking status. Multivariate logistic regression was performed to assess the relationship between asthma, COPD, ACO and lung cancer screening status.

Results: 17.9% of eligible adults were up-to-date on lung cancer screening. Those with COPD and ACO had higher rates of ever undergoing lung cancer screening (50.8% and 47.5%) than those with asthma (26.4%) or neither condition (23%). Adults with COPD (adjusted odds ratios (aOR): 2.86, 95% CI 2.49-3.28) and ACO (aOR: 2.85, 95% CI 2.49-3.28) had increased odds of ever having lung cancer screening compared with those without either condition. Stratification by smoking status shows that individuals who formerly smoked had slightly higher odds of ever undergoing screening than individuals currently smoking.

Conclusion: Lung cancer screening rates have increased; however, it remains low. Adults with COPD and ACO are more likely to undergo lung cancer screening.

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估算哮喘和慢性阻塞性肺病对美国肺癌筛查的影响。

目的研究哮喘、慢性阻塞性肺病和哮喘-慢性阻塞性肺病重叠（ACO）与肺癌筛查率之间的关系。方法：采用 2022 年行为和风险因素监测调查对慢性阻塞性肺病、哮喘和 ACO 患者自我报告的肺癌筛查率进行横断面分析，并根据吸烟状况进行分层。为评估哮喘、慢性阻塞性肺病、ACO 和肺癌筛查状况之间的关系，进行了多变量逻辑回归：结果：17.9%的合格成年人接受了最新的肺癌筛查。与哮喘患者（26.4%）或两种情况都没有的患者（23%）相比，患有慢性阻塞性肺病和ACO的患者接受过肺癌筛查的比例更高（分别为50.8%和47.5%）。患有慢性阻塞性肺病（调整后的几率比（aOR）：2.86，95% CI 2.49-3.28）和哮喘（aOR：2.85，95% CI 2.49-3.28）的成年人曾接受肺癌筛查的几率高于未患有这两种疾病的成年人。根据吸烟状况进行的分层显示，曾经吸烟者接受筛查的几率略高于目前吸烟者：结论：肺癌筛查率有所上升，但仍然很低。患有慢性阻塞性肺病和 ACO 的成年人更有可能接受肺癌筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lung 医学-呼吸系统

CiteScore

9.10

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Lung publishes original articles, reviews and editorials on all aspects of the healthy and diseased lungs, of the airways, and of breathing. Epidemiological, clinical, pathophysiological, biochemical, and pharmacological studies fall within the scope of the journal. Case reports, short communications and technical notes can be accepted if they are of particular interest.