Jurnal Respirologi Indonesia最新文献

{"title":"Case Report: Pneumonia Like Mass with Spontaneous Resolution","authors":"Aisyah Safitri, Muhammad Fahmi Alatas","doi":"10.36497/jri.v43i3.205","DOIUrl":"https://doi.org/10.36497/jri.v43i3.205","url":null,"abstract":"Background: Pneumonia can easily mimic malignancies. Pulmonary nodule finding raise concern for lung cancer. A single lung opacity less than 3 centimetres in diameter is referred to as a solitary pulmonary nodule (SPN). These nodules sometimes incidentally discovered during routine computed tomography (CT) scan of the chest in relatively asymptomatic patients. We present unusual case of pneumonia like mass with spontaneous resolution.Case: Woman, 38-year-old, with solitary pulmonary nodule which was found accidentally in the left lung upper lobe, without any respiratory symptoms in June 2021. In August 2021, a chest CT scan was done for evaluating and the solitary nodule of the left lung upper lobe had resolved spontaneously without any treatment. The patient was prepared for diagnostic bronchoscopy at Persahabatan Hospital with the findings of normal bronchi and the branches. A bronchial washing was performed on the left B1+2 segment and cytology, fungal, microorganism and molecular tuberculosis examination were performed.Discussion: Pulmonary solitary nodule in left lung upper lobe in the beginning and spontaneous resolution after 2 months evaluation without any specific treatment, consider period of pneumonia. Whenever a patient is found to have an SPN, it is essential to determine the patient’s risk for malignancy. It is important to consider any pulmonary nodule to be malignant or not, and how it presents on CT Imaging.Conclusion: Pulmonary nodule may be found during pneumonia and may resolve spontaneously. The possibility of malignancy must still be considered. Awareness of condition from the history is important to help reassure patient about the disease even before diagnostic procedure was made.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132590952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Dexamethasone on IL-6 Levels in Confirmed COVID-19 Patients Treated at RSUP Dr. M. Djamil Padang","authors":"Bobby Hasibuan, Irvan Medison, Fenty Anggrainy","doi":"10.36497/jri.v43i3.426","DOIUrl":"https://doi.org/10.36497/jri.v43i3.426","url":null,"abstract":"Background: Elevated IL-6 levels have been found in COVID-19 patients and are associated with a poor prognosis. According to COVID-19 management guidelines, several types of corticosteroids can be used as therapy modalities for COVID-19 patients, including dexamethasone, methylprednisolone, and hydrocortisone. The purpose of this study was to examine how dexamethasone administration affected changes in IL-6 levels in confirmed COVID-19 patients at RSUP Dr. M. Djamil Padang.Methods: This was a retrospective cohort study with a sample of all COVID-19 patients who met the inclusion and exclusion criteria and were treated in the COVID-19 isolation ward at RSUP Dr. M. Djamil Padang. The study began in June 2021 and concluded in July 2022. The data was analyzed both descriptively and analytically. The distribution of frequencies and proportions of each variable was included in the univariate analysis. Bivariate analysis employs data-scale-appropriate statistical tests such as the T-test to determine the relationship between independent and dependent variables.Results: The characteristic of the patients were mostly 18-49 years old (37.22%), female (55.67%), of severe clinical degree (49.44%), had no comorbidities (52.78%) and the majority (77.78%) received dexamethasone in the recommended dose (1 x 6 mg). The study's findings revealed that there was no difference in IL-6 values before and after dexamethasone administration in patients with moderate clinical degrees,  but there were differences in IL-6 values before and after dexamethasone administration in patients with severe and critical clinical degrees.Conclusion: The IL-6 level has significantly decreased following dexamethasone administration. Dexamethasone administration causes significant changes in IL-6 values in severe and critical degrees but not in moderate clinical degree.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124892728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary Spontaneous Pneumothorax In Healthy Tall and Thin Male Secondary to Smoking: A Case Report and Literature Review","authors":"B. Yanti, Rina Marlena","doi":"10.36497/jri.v43i3.554","DOIUrl":"https://doi.org/10.36497/jri.v43i3.554","url":null,"abstract":"Background: Primary Spontaneous Pneumothorax (PSP) refers to the collapse of a lung without any underlying disease and is commonly observed in tall, thin young men, with smoking as an under-recognized risk factor. The management of PSP can vary significantly across different health centers. This case report highlights a young man with a pneumothorax without an underlying illness but has a smoking habit who initially gets treatment with an insertion of a chest tube.Case: This study focused on a 19-year-old man complaining of sudden right chest pain. The patient was a smoker for the past four years, and the examination showed hypersonic and vesicular loss on the right side. The laboratory tests revealed normal limits, and the sputum indicated the absence of tuberculosis. Chest X-ray showed an avascular radiolucent area in the right lung, and a Chest CT scan confirmed the presence of a hypodense area of air density in the right hemithorax. Right PSP was diagnosed and managed using a chest tube drainage on admission. After four days of treatment, he exhibited improvement and was discharged. A recurrence of pneumothorax was not discovered in the subsequent six-month follow-up period.Conclusion: Despite being a rare disorder, PSP should be considered during the physical examination of patients. It is also important to reassess the risk factors that can contribute to the onset of pneumothorax. The clinicians should be able to identify PSP and emphasize tall, thin, and young men at greater risk of pneumothorax in a pulmonary emergency.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125562322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of COVID-19 Antivirus Therapy and Its Relationship with Vaccination: A Retrospective Analysis","authors":"Andi Utari Prasetya Ningrum, R. Andrajati, N. F. Syafhan, Aditya Wirawan","doi":"10.36497/jri.v43i3.434","DOIUrl":"https://doi.org/10.36497/jri.v43i3.434","url":null,"abstract":"Background: COVID-19 is known to have infected more than a million people. COVID-19 can be treated with antivirals. Besides antiviral drugs, vaccination becomes one of the strategies to suppress the spread of COVID-19. This study aimed to analyze the effectiveness of antivirus and the relationship between vaccination and the effectiveness of the two antiviral therapies in COVID-19 patients based on improvements in the patient's clinical condition, length of stay, and mortality.Methods: This study used a retrospective cohort design conducted at the Universitas Indonesia Hospital, Depok, Indonesia. Data were taken from medical records and hospital databases from January 2021 to August 2022. The antivirals in this study were remdesivir and favipiravir. The samples were divided into two groups, namely the vaccinated and unvaccinated groups.Results: The factor affecting the effectiveness of remdesivir and favipiravir therapy was the severity of COVID-19. It was shown that vaccination had a significant effect on improving clinical conditions, reducing length of stay, and reducing mortality in patients treated with remdesivir who had been vaccinated compared to those who had not been vaccinated. In patients who received favipiravir therapy and were vaccinated, it also showed an effect on improving clinical conditions, length of stay, and mortality compared to patients who were not vaccinated, although the results were not statistically significant.Conclusion: Vaccination had a positive effect on the effectiveness of remdesivir and favipiravir in COVID-19 patients, which could improve the patient's clinical condition in a better direction, as well as reduce length of hospitalization and mortality.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131045090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Vaccination Related to The Cure Rate of COVID-19 Patients with Comorbidities?","authors":"Mia Herdiyani Achmad, Reviono Reviono, Y. Sutanto, J. Aphridasari, Windu Prasetyo","doi":"10.36497/jri.v43i3.324","DOIUrl":"https://doi.org/10.36497/jri.v43i3.324","url":null,"abstract":"Background: Prior vaccination can prevent a COVID-19 patient from falling into moderate, severe, and critical conditions. The effect of vaccination on COVID-19 patients’ recovery has been widely studied. However, its correlation in critically severe COVID-19 patients with comorbidity has not been fully understood yet. This study aims to determine the correlation of vaccination in critically severe COVID-19 patients with comorbidity of hypertension and/or Diabetes Mellitus (DM).Methods: A retrospective cohort study was conducted in critically severe COVID-19 patients with hypertension and/or DM treated in Dr. Moewardi Hospital, Surakarta, Indonesia from March 2021 to September 2021. The data were taken from patients’ medical records. We analyzed all data statistically with Chi-Square and fisher's exact test, and a p-value of < 0.05 was considered significant.Results: There were 489 patients included in our study, 247 patients with hypertension and DM, and 242 patients without comorbidities. Vaccination status was significantly associated with the cure rate of critically severe COVID- 19 patients with hypertension (p=0.018), but not with DM (p=0.606). There was no significant association between age to the cure rate of critically severe COVID-19 patients with hypertension and DM (p=0.953). Vaccination status was related among patients with comorbidities and without comorbidities (p<0.001).Conclusion: Vaccination was significantly correlated the cure rate of moderate to critically severe COVID-19 patients with hypertension and without comorbidities.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114251794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of the Vaccination Status of Health Workers of COVID-19 Survivors with The Outcomes of Treatment of COVID-19 At General Hospital in Padang City","authors":"Kornelis Aribowo, Masrul Basyar, Y. Sabri","doi":"10.36497/jri.v43i3.351","DOIUrl":"https://doi.org/10.36497/jri.v43i3.351","url":null,"abstract":"Background: Health workers are on the front lines of treating and fighting the COVID-19 pandemic. Health workers face COVID-19 patients at work. Health workers are at increased risk of infection if they are not properly protected. Increased risk for health workers can be caused by contact with patients without personal protective equipment (PPE) and surfaces contaminated with the virus. Infected health workers can infect other people around them and will increase the workload of other health workers. One of the efforts to reduce the risk of transmission to health workers is vaccination. Vaccines against COVID-19 are considered very important to prevent and control COVID-19. The aim is to determine the relationship between the COVID-19 vaccine status and the outcomes of healthcare workers treated for confirmed COVID-19 at hospitals throughout Padang.Methods: This observational study was conducted using a retrospective cohort method. The study was conducted from August 2021 to May 2022 in hospitals across Padang by completing a questionnaire in the form of a Google form link. Results: Vaccination status of health workers who survived COVID-19 who were treated at Padang City General Hospital (66.97%) were not vaccinated, aged 26–35 years (57.80%), female (80.73%), worked as paramedics (63, 55%), symptom onset 3 to 7 days (44.95%), number of symptoms 3 (55.96%), most fever (24.68%), number of comorbid 1 to 2 (66.06%), obesity (66.67%), length of stay <21 days (84.40%), and mild clinical (55.96%) and recovered (92.66%). The highest degree of COVID-19 severity for health workers who were not vaccinated was moderate clinical, 42 samples (57.53%), and vaccinated, predominantly mild clinical, 34 samples (94.44%). The duration of stay of health workers vaccinated was higher than that who were not vaccinated (97.22% vs. 78.08%).Conclusion: The vaccination status of health workers who have survived COVID-19 relates to a clinical degree, length of stay, and outpatient treatment.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122295709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnesium and Phosphate Ion Levels in Mechanically Ventilated Patients Treated at Persahabatan Hospital’s Intensive Care Unit (ICU) and Respiratory Intensive Care Unit (RICU) in 2018","authors":"Filemon Suryawan Handjaja, M. Rasmin, P. Prasenohadi, Ernita Akmal","doi":"10.36497/jri.v43i3.456","DOIUrl":"https://doi.org/10.36497/jri.v43i3.456","url":null,"abstract":"Background: History shows that respiratory system has a long and complicated arrangement so that many factors can affect a human’s ability to breathe. Some electrolytes often considered as most important are sodium (Na+), potassium (K+), calcium (Ca2+) and chloride (Cl-). Other than that, magnesium (Mg2+) and phosphate (PO43-) are also important in all processes, especially at the neuromuscular junction and in muscle cells as adenosine triphosphate (ATP). Some researchers have found that PO43- affected patients’ clinical condition and ventilator weaning success, although Mg2+ gave inconsistent results. Until now, there have not been any studies or data about the significance of Mg2+ and PO43- in ventilator weaning in Indonesia.Methods: This was a cross sectional study with total sampling. A vein blood sample was taken after ICU/RICU admission at Persahabatan Hospital. Blood sample was taken consecutively until it reached a minimum of 30 subjects (pilot study). All patients found with mechanical ventilation were included, except for patients with complicated procedure (e.g. avian influenza, multidrug-resistant tuberculosis). Blood sample was analyzed for Mg2+, inorganic phosphate (Pi) and other additional tests. Failure in weaning was defined as reintubation within 48 hours after extubation or failure in the spontaneous breathing trial (SBT).Results: Of the 31 subjects evaluated, there were 3 patients with weaning failure. The median Mg2+ value was 0.5 (0.5-2.6) in successfully weaned patients and 0.6 (0.6-2.7) in patients with weaning failure, lower than its normal value. The mean Pi value was 4.21±1.17 (normal value) in successfully weaned patients and 5.43±0.47 (high value) in patients with weaning failure. Further analysis found that no significant relation was found between weaning and patient’s characteristics other than heart rate and Ca2+, although it was not clear if there were some biases which could affect these results. Low Mg2+ value was observed in 23 subjects, no low Pi value was seen in all subjects, high Mg2+ value was found in 1 subject, high Pi value was observed in 11 subjects, and the rest was in the normal range.Conclusion: The median Mg2+ value in both weaning groups (successful and failed) were below the normal limit at 0.5 (0.5-2.6) and 0.6 (0.6-2.7). Mean Pi value in the successful weaning group was 4.21±1.17 (within normal range), and the value in failed weaning group was 5.43±0.47 (above normal range).","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127381808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between Body Composition and Peak Expiratory Flow Rate in First-Year Medical Students of Diponegoro University","authors":"Timothy Jordan, Darmawati Ayu Indraswari, Edwin Basyar, Buwono Puruhito","doi":"10.36497/jri.v43i3.517","DOIUrl":"https://doi.org/10.36497/jri.v43i3.517","url":null,"abstract":"Background: Peak expiratory flow rate (PEFR) is one of the pulmonary ventilation parameters that affects quality of life. PEFR is known to be negatively affected by high body mass index (BMI) and waist circumference (WC). This study aimed to determine the correlation of BMI and WC with PEFR in first-year medical undergraduates at Diponegoro University.Methods: This was a cross-sectional study held from October 5th to October 8th, 2020, which measured the BMI, WC, and PEFR of 169 first-year medical students at Diponegoro University. The BMI, WC, and PEFR were assessed using a digital scale, measuring tape, and Mini-Wright peak flow meter (PFM), respectively. Spearman test was used for bivariate analysis, whereas the multiple regression method was used for multivariate analysis. The results are considered significant if P <0,05 for bivariate and F <0,05 for multivariate analysis. The IBM SPSS Statistics 26.0 Software was used for statistical analysis.Results: Most of the subjects had normal BMI, with a mean value of 23.38 (±0.36) kg/m2. As many as 71.6% of the subjects had normal WC. There was a correlation between BMI and PEFR (P = 0.001) with a weak strength (R = 0.260). As for BMI, WC also demonstrated a significant positive correlation (P <0.001) with a weak strength (R = 0.342) towards PEFR. Simultaneously, both BMI and WC had a significant positive correlation (F <0.001) with a weak strength (R = 0.361) towards PEFR.Conclusion: Higher BMI and WC values coincided with higher PEFR values. ","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126852520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Bilateral Spontaneous Pneumothorax in an HIV Positive Tuberculosis Patient","authors":"A. Nugroho, Edijono Edijono, Sri Sarwosih Indah Marthaty","doi":"10.36497/jri.v43i2.261","DOIUrl":"https://doi.org/10.36497/jri.v43i2.261","url":null,"abstract":"Background: Even though tuberculosis has been linked to pneumothorax for a long time and has caused significant morbidity and mortality in some patients, it has been the topic of few publications and analyses, thus very little study has been done to evaluate and review on this matter.Case: In this article, we reported a 39-year-old male, presented to the ER with breathlessness for the last 3 days accompanied by increased sputum productivity. The patient had an active pulmonary tuberculosis taht was under treatment, as well as HIV. Physical examination showed low chest expansion, weakened breathing sounds on both lungs, and the use of accessory breathing muscles. The chest X-ray showed bilateral pneumothorax. The patient underwent emergency chest decompression with a 16-gauge needle on both sides, followed by the insertion of an IPC and chest tube. The patient's breathlessness got significantly better, and after 35 days, the IPC was removed.Discussion: Pneumothorax is a frequent complication in Tuberculosis with HIV, with a prevalence of 6.8% compared to 0.95-1.4% in Tuberculosis without HIV. The progression of breathlessness in bilateral pneumothorax on HIV positive Tuberculosis patient is slower, up to 3 days since onset, compared to pneumothorax occured in other etiologies. Secondary pneumothorax usually occurs after extensive destruction of the lungs, leaving a little functionality and lower cardiopulmonary reserve, thus requiring prompt evaluation and more aggresive lifesaving treatment.Conclusion: Based on this case, bilateral pneumothorax found in HIV-associated TB patients comes with an insidious onset but warrants immediate evaluation and aggressive treatment or surgery if necessary.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"659 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134167673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indonesian Society of Respirology (ISR) Consensus Statement on Lung Cancer Screening and Early Detection in Indonesia","authors":"S. Andarini, E. Syahruddin, N. Aditya, J. Zaini, F. Kurniawan, Sabrina Ermayanti, N. Soeroso, S. Munir, Andreas Infianto, A. Rima, U. Setyawan, L. Wulandari, H. Haryati, Ida Ayu Dwi Jasminarti, A. Santoso","doi":"10.36497/jri.v43i2.455","DOIUrl":"https://doi.org/10.36497/jri.v43i2.455","url":null,"abstract":"Lung cancer is the leading cause of mortality for all cancer globally and in Indonesia. In Indonesia, lung cancer contributes to 12.6% of death of all cancer, making it the number one cause of cancer death, and 8.6% of all cancer incidence in 2018, behind breast, cervical, and colorectal cancer. The total cases per year are expected to almost double from 30,023 in 2018 to 54,983 cases in 2040. Smoking is among the risk factors for lung cancer, after occupational/environmental risk factors, history of lung fibrosis, and family history of cancer. There was a tendency of younger smokers in Indonesia and increased lung cancer incidence and prevalence in the younger population. The median age of lung cancer in Indonesia was younger than in any country, probably due to the younger age of smoking, early onset of carcinogens, asbestos use, and environmental. Lung cancer screening is a voluntary measure to detect lung cancer in the earliest stage, to find cancer at curable disease before symptoms appear in high-risk individuals. Lung cancer early detection is strategies to find cancer earlier after symptoms appear (cough, hemoptysis, dyspnea, chest pain). Low-dose computerized tomography of the thorax (LDCT) screening has been known to reduce lung cancer mortality compared to a chest x-ray (CXR). This Indonesian Society of Respirology consensus statement was aimed to give recommendations on lung cancer screening and early diagnosis in Indonesia.","PeriodicalId":168168,"journal":{"name":"Jurnal Respirologi Indonesia","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114090111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}