Percentage Up to Date With Chest Computed Tomography Among Those Eligible for Lung Cancer Screening.
Percentage Up to Date With Chest Computed Tomography Among Those Eligible for Lung Cancer Screening.
复制标题
符合肺癌筛查资格的人中接受最新胸部计算机断层扫描的百分比。
DOI：
10.1016/j.amepre.2023.01.002
复制
发表时间：
2023
影响因子：
5.5
通讯作者：
Ritzwoller,DebraP
中科院分区：
文献类型：
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作者：
Burnett-Hartman,AndreaN;Carroll,NikkiM;Croswell,JenniferM;Greenlee,RobertT;Honda,StaceyA;Neslund-Dudas,ChristineM;Kim,RogerY;Rendle,KatharineA;Vachani,Anil;Ritzwoller,DebraP
IntroductionAuthors旨在计算5个医疗保健系统中肺癌筛查背景下最新测试的百分比，并根据患者和卫生系统特征评估差异。MethodsLung cancer screening将符合条件的个人纳入基于人群的研究以优化筛查过程Lung consortium从2018年10月1日至2018年9月30日，2019年被纳入分析。数据收集于2021年6月15日完成;最终分析于2022年4月1日完成。通过电子健康记录获得胸部计算机断层扫描和患者特征，并用于计算在过去12个月内完成胸部计算机断层扫描的百分比（视为最新）。使用log-binomial regression models.ResultsThere调整患病率和95%CI评估患者和医疗保健系统因素与最新的相关性，截至2019年9月30日，有29，417人符合肺癌筛查条件; 8，333人（28.3%）与测试保持最新状态。65-74岁（患病率=1.19; CI=1.15，1.24，与年龄55-64岁相比），慢性阻塞性肺疾病患者（患病率=2.05; CI=1.98，2.13），和那些在较高的SES人口普查区（患病率=1.22; CI=1.16，1.30，最高五分位数与最低五分位数）更有可能是最新的。目前吸烟（患病率=0.91; CI=0.88，0.95），BMI ≥30 kg/m2（患病率=0.83; CI=0.77，0.88），确定为夏威夷原住民或其他太平洋岛民（患病率=0.79; CI=0.68，0.92），并有一个分散的肺癌筛查计划（患病率=0.77; CI=0.74，0.80）与最新的呈负相关。结论在那些有资格进行肺癌筛查的人中，最新的检测百分比远低于其他类型癌症筛查的最新估计，肺癌筛查参与率的差异仍然存在。
IntroductionAuthors aimed to calculate the percentage up-to-date with testing in the context of lung cancer screening across 5 healthcare systems and evaluate differences according to patient and health system characteristics.MethodsLung cancer screening‒eligible individuals receiving care within the five systems in the Population-based Research to Optimize the Screening Process Lung consortium from October 1, 2018 to September 30, 2019 were included in analyses. Data collection was completed on June 15, 2021; final analyses were completed on April 1, 2022. Chest computed tomography scans and patient characteristics were obtained through electronic health records and used to calculate the percentage completing a chest computed tomography scan in the previous 12 months (considered up-to-date). The association of patient and healthcare system factors with being up-to-date was evaluated with adjusted prevalence ratios and 95% CIs using log-binomial regression models.ResultsThere were 29,417 individuals eligible for lung cancer screening as of September 30, 2019; 8,333 (28.3%) were up-to-date with testing. Those aged 65–74 years (prevalence ratio=1.19; CI=1.15, 1.24, versus ages 55–64), those with chronic obstructive pulmonary disease (prevalence ratio=2.05; CI=1.98, 2.13), and those in higher SES census tracts (prevalence ratio=1.22; CI=1.16, 1.30, highest quintile versus lowest) were more likely to be up-to-date. Currently smoking (prevalence ratio=0.91; CI=0.88, 0.95), having a BMI ≥30 kg/m2(prevalence ratio=0.83; CI=0.77, 0.88), identifying as Native Hawaiian or other Pacific Islander (prevalence ratio=0.79; CI=0.68, 0.92), and having a decentralized lung cancer screening program (prevalence ratio=0.77; CI=0.74, 0.80) were inversely associated with being up-to-date.ConclusionsThe percentage up-to-date with testing among those eligible for lung cancer screening is well below up-to-date estimates for other types of cancer screening, and disparities in lung cancer screening participation remain.