Thomas N Rusher, Lekha Deere, Albert Jang, Rahul Kamat, Jaime Palomino
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引用次数: 0
Abstract
Background: Black individuals and veterans are at higher risk for developing lung cancer compared with that of the general population. Evidence suggests the screening criteria have been too conservative for this population.
Methods: This study is a retrospective chart review examining the applicability of the 2013 United States Preventive Services Task Force lung cancer screening guidelines in a US Department of Veteran Affairs institution that served a a predominantly black population. Patients diagnosed with stage 1 or 2 lung cancer from 2005 through 2017 were included and grouped by whether or not they met United States Preventive Services Task Force screening criteria.
Results: There was a significantly higher proportion of Black patients in the study group that did not meet screening criteria (68% vs 54%, P = .04), highlighting the concern that this population was being underscreened with the 2013 guidelines.
Conclusions: An individualized, risk-based screening model could be more effective at diagnosing early-stage lung cancer and requires more investigation.
背景:与普通人群相比,黑人和退伍军人患肺癌的风险更高。有证据表明,筛查标准对这一人群过于保守。方法:本研究是一项回顾性图表回顾,检查2013年美国预防服务工作组肺癌筛查指南在美国退伍军人事务部机构的适用性,该机构主要为黑人提供服务。从2005年到2017年,被诊断为1期或2期肺癌的患者被纳入研究,并根据他们是否符合美国预防服务工作组的筛查标准进行分组。结果:研究组中黑人患者不符合筛查标准的比例明显更高(68% vs 54%, P = 0.04),这突出了对该人群未按照2013年指南进行筛查的担忧。结论:个体化、基于风险的筛查模式可更有效地诊断早期肺癌,但需要更多的研究。