Healthcare use after screening for lung cancer.
Healthcare use after screening for lung cancer.
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DOI：
10.1002/cncr.25466
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发表时间：
2010-10-15
期刊：
影响因子：
6.2
通讯作者：
Roberts, Mark S.
中科院分区：
文献类型：
--
作者：
Byrne, Margaret M.;Koru-Sengul, Tulay;Zhao, Wei;Weissfeld, Joel L.;Roberts, Mark S.
To evaluate the benefits of lung cancer screening, all effects of screening need to be considered. We sought to determine whether screening had an effect on health care utilization, specifically whether utilization increased for those with a false positive or indeterminate screening result. We recruited 400 individuals participating in a lung cancer screening study at the University of Pittsburgh. We collected self reported outpatient health care utilization for the 6 months prior to screening, and 0–6 months and 6–12 months following screening. The screening outcomes were negative, indeterminate and suspicious. Repeated measures Poisson regressions models were used to examine changes in utilization over time, and how changes over time varied among the screening outcome groups. 58% of participants had a negative screening result, 36% an indeterminate result, and approximately 6% a suspicious result. The percentage of individuals who had any incidence of each type of outpatient use increased following screening, with the greatest increase for those with a suspicious screening result. Adjusted mean utilization significantly increased for almost all types of utilization and for all three screening results categories in the 6 months following screening, but mostly declined to pre-screening levels in the next 6 months. Outpatient health care utilization increased following screening for all individuals who were screened for lung cancer, regardless of the screening finding. The cost of the lung related visits alone is substantial. Therefore, if lung cancer screening prevalence increases, attendant follow up health care costs are also likely to increase.
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影响因子：
5.7
作者：
Barton, MB;Moore, S;Fletcher, SW
通讯作者：
Fletcher, SW
影响因子：
6.4
作者：
Aktan-Collan, K;Haukkala, A;Kääriäinen, H
通讯作者：
Kääriäinen, H
影响因子：
9.6
作者：
ROMANO, PS;MARK, DH
通讯作者：
MARK, DH
DOI：
10.1001/archfami.8.6.510
发表时间：
1999-11-01
期刊：
ARCHIVES OF FAMILY MEDICINE
影响因子：
--
作者：
Melnikow, J;Chan, BKS;Stewart, GK
通讯作者：
Stewart, GK
影响因子：
5.1
作者：
PASKETT, ED;WHITE, E;CHU, J
通讯作者：
CHU, J