关于在葡萄牙实施全国肺癌筛查计划的建议--共识声明。

IF 10.4 2区医学 Q1 RESPIRATORY SYSTEM

Pulmonology Pub Date : 2024-11-01 DOI:10.1016/j.pulmoe.2024.04.003

M.G.O. Fernandes , M. Dias , R. Santos , S. Ravara , P. Fernandes , J. Firmino-Machado , J.P. Antunes , O. Fernandes , A. Madureira , V. Hespanhol , C. Rodrigues , C.A. Vicente , S. Alves , G. Mendes , R. Ilgenfritz , B.S. Pinto , J. Alves , I. Saraiva , C. Bárbara , M.A. Cipriano , A. Morais

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引用次数: 0

摘要

肺癌（LC）是全球癌症相关死亡的主要原因。使用低剂量计算机断层扫描（LDCT）的肺癌筛查（LCS）计划已被证明可将肺癌死亡率降低 25%，并被认为具有成本效益。欧洲健康联盟鼓励其成员国探索在各自国家实施 LCS 的可行性。特别工作组进行了全面的文献综述和广泛的讨论，以提出建议。这些建议包含了按照世界卫生组织制定的指导方针启动试点 LCS 计划所需的基本组成部分。这些建议是根据葡萄牙医疗保健系统的具体情况量身定制的。文件涉及的关键方面包括符合条件的人群、发出邀请的方法、放射学先决条件、报告结果的程序、转诊流程、诊断策略、计划实施和持续监测。此外，特别工作组还强调，将 LCS 与循证戒烟相结合应成为高质量筛查项目的护理标准。本文件还指出了需要进一步研究的领域。这些建议旨在保证葡萄牙 LCS 项目的实施能确保各中心的高质量标准、一致性和统一性。

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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Recommendations for the implementation of a national lung cancer screening program in Portugal—A consensus statement

Lung cancer (LC) is a leading cause of cancer-related mortality worldwide. Lung Cancer Screening (LCS) programs that use low-dose computed tomography (LDCT) have been shown to reduce LC mortality by up to 25 % and are considered cost-effective. The European Health Union has encouraged its Member States to explore the feasibility of LCS implementation in their respective countries.

The task force conducted a comprehensive literature review and engaged in extensive discussions to provide recommendations.

These recommendations encompass the essential components required to initiate pilot LCS programs following the guidelines established by the World Health Organization. They were tailored to align with the specific context of the Portuguese healthcare system. The document addresses critical aspects, including the eligible population, methods for issuing invitations, radiological prerequisites, procedures for reporting results, referral processes, diagnostic strategies, program implementation, and ongoing monitoring. Furthermore, the task force emphasized that pairing LCS with evidence-based smoking cessation should be the standard of care for a high-quality screening program. This document also identifies areas for further research.

These recommendations aim to guarantee that the implementation of a Portuguese LCS program ensures high-quality standards, consistency, and uniformity across centres.

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来源期刊

Pulmonology Medicine-Pulmonary and Respiratory Medicine

CiteScore

14.30

自引率

5.10%

发文量

159

审稿时长

19 days

期刊介绍： Pulmonology (previously Revista Portuguesa de Pneumologia) is the official journal of the Portuguese Society of Pulmonology (Sociedade Portuguesa de Pneumologia/SPP). The journal publishes 6 issues per year and focuses on respiratory system diseases in adults and clinical research. It accepts various types of articles including peer-reviewed original articles, review articles, editorials, and opinion articles. The journal is published in English and is freely accessible through its website, as well as Medline and other databases. It is indexed in Science Citation Index Expanded, Journal of Citation Reports, Index Medicus/MEDLINE, Scopus, and EMBASE/Excerpta Medica.