Lung cancer stage-shift following a symptom awareness campaign
Lung cancer stage-shift following a symptom awareness campaign
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DOI：
10.1136/thoraxjnl-2018-211842
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发表时间：
2018-12-01
期刊：
影响因子：
10
通讯作者：
Callister, Matthew E. J.
中科院分区：
文献类型：
--
作者：
Kennedy, Martyn P. T.;Cheyne, Leanne;Callister, Matthew E. J.
背景 英国的肺癌结果比许多其他发达国家更糟糕。症状认识活动旨在早期诊断患者，以改善癌症结果。方法 2011 年，英国利兹启动了一项肺癌早期诊断活动，包括面向公众和初级保健的组成部分。收集 2008 年至 2015 年期间社区转诊胸部 X 光检查和肺癌分期（TNM 第七版）的比率。通过 (2) 比例趋势检验评估线性趋势。标题数据为活动前 3 年（2008-2010 年）和活动期间可获得数据的最近三年（2013-2015 年）。调查结果 社区每年预约的胸部 X 光检查率从 2008-2010 年的 18909 例增加到 2013-2015 年的 34194 例（增加 80.8%）。观察到向早期肺癌的显着阶段转变 ((2)(1)=32.2，p
Background Lung cancer outcomes in the UK are worse than in many other developed nations. Symptom awareness campaigns aim to diagnose patients at an earlier stage to improve cancer outcomes.Methods An early diagnosis campaign for lung cancer commenced in Leeds, UK in 2011 comprising public and primary-care facing components. Rates of community referral for chest X-ray and lung cancer stage (TNM seventh edition) at presentation were collected from 2008 to 2015. Linear trends were assessed by (2) test for trend in proportions. Headline figures are presented for the 3years pre-campaign (2008-2010) and the three most recent years for which data are available during the campaign (2013-2015).Findings Community-ordered chest X-ray rates per year increased from 18909 in 2008-2010 to 34194 in 2013-2015 (80.8% increase). A significant stage shift towards earlier stage lung cancer was seen ((2)(1)=32.2, p