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Nearly half of patients at high risk for lung cancer delayed screening follow-up

Most high-risk patients fail to follow up on lung cancer screening. Credit: ATS

Preliminary studies to track patients’ perceived risk of developing lung cancer after a CT scan found that 47 percent had delayed care, according to a study published at the ATS 2022 international conference.

“The fact that almost half of all patients with abnormalities in our study were found postponement in the future it is scary, “said study author Alwiya Ahmed, MD, MPH, an obstetrician at the University of Washington School of Medicine and a physician-scientist at the Seattle Cancer Care Alliance and Fred Hutchinson Cancer Research Center . “In the past. studies show that participate in pneumonia The study has little to do with other types of screening such as mammography and look at colorectal cancerbut this may be due in part to the fact that lung Cancer screening is a new service. However, it is interesting to note that among those surveyed who received a negative diagnosis, there was an important one. postponement in the recommendations below. This can lead to a delay in diagnosing lung cancer. “

Dr. Ahmed and his colleagues looked at patients enrolled in the Seattle-based CT cancer screening program who underwent baseline or annual tests between 2012 and January 2021. Four research results were based on Lung-RADS assessment tool, established by the American College. of Radiology-Lung-RADS 3, 4A, 4B and 4X — from low to high risk. The follow-up treatment included a second CT scan, some appropriate imaging, and / or special recommendations or procedures. A delay time of more than 30 days was considered to follow the recommended dose, and 30 days for all 4B and 4X patients, who had a more thorough examination.

Thirty-seven patients with 464 tests received high risk. Fifty-nine patients (15 percent) were eventually diagnosed with lung cancer. The median delay time was 91 days, although those with the most severe study experienced a shorter delay (32 days for Lung-RADS 4B and 4X). Current smokers are slower than older smokers, which puts them at risk for lung cancer.

“Intervention is needed at both providers and patient levels to ensure that critically ill patients receive adequate care,” said Dr Ahmed.

Lung cancer is the leading cause of death associated with cancer. Lung cancer screening with small breast CT is a evidence-based tool to reduce mortality in patients at the highest risk. Although many recent studies have looked at (and found) non-payment among those with a negative test score, to date, no study has examined the slow pace of research findings , which is more appropriate. to cause pneumonia cancer diseases.

Dr. Ahmed said, “When I started this study with my consultant Dr. Matthew Tripette, I was surprised to learn that most readings are focused on sponsorship. lung cancer test and nothing more than that. Little work has been done to understand and improve long-term care for people with normalcy showing exam, but little research on critical research. Given the potential for a slower pace of infection, we hope that our research will lead to more research in this area. ”


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hintNearly half of patients at risk of developing lung cancer have delayed follow-up follow-up (2022, May 17) and returned 17 May 2022 from https://medicalxpress.com/news/2022-05-patients-high -lung-cancer-screening .html

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