The American Association for Thoracic Surgery guidelines for lung cancer screening using low-dose computed tomography scans for lung cancer survivors and other high-risk groups
The American Association for Thoracic Surgery guidelines for lung cancer screening using low-dose computed tomography scans for lung cancer survivors and other high-risk groups
复制标题
DOI：
10.1016/j.jtcvs.2012.05.060
复制
发表时间：
2012-07-01
影响因子：
6
通讯作者：
Sugarbaker, David J.
中科院分区：
文献类型：
--
作者：
Jaklitsch, Michael T.;Jacobson, Francine L.;Sugarbaker, David J.
目的：肺癌是北美癌症死亡的主要原因。低剂量CT筛查可降低肺癌特异性死亡率20%。方法：美国胸外科协会成立了一个多专业工作组，为肺癌高危人群和既往肺癌幸存者制定筛查指南。美国胸外科协会指南呼吁每年进行肺癌筛查，对年龄在55岁至79岁之间、有30包年吸烟史的北美人进行剂量计算机断层扫描筛查。长期肺癌幸存者应每年进行低剂量计算机断层扫描，以检测第二原发性肺癌，直到79岁。如果在接下来的5年内发生肺癌的额外累积风险为5%或更高，则应从50岁开始提供年度低剂量计算机断层扫描肺癌筛查，具有20包年病史。肺癌筛查需要一个具有亚专业资格的团队的参与。美国胸外科协会将继续与其他专业协会合作，完善未来的筛查guidelines.Conclusions：美国胸外科协会提供了在北美肺癌筛查的具体指南。（《胸血管外科杂志》2012;144：33-8）
Objective: Lung cancer is the leading cause of cancer death in North America. Low-dose computed tomography screening can reduce lung cancer-specific mortality by 20%.Method: The American Association for Thoracic Surgery created a multispecialty task force to create screening guidelines for groups at high risk of developing lung cancer and survivors of previous lung cancer.Results: The American Association for Thoracic Surgery guidelines call for annual lung cancer screening with low-dose computed tomography screening for North Americans from age 55 to 79 years with a 30 pack-year history of smoking. Long-term lung cancer survivors should have annual low-dose computed tomography to detect second primary lung cancer until the age of 79 years. Annual low-dose computed tomography lung cancer screening should be offered starting at age 50 years with a 20 pack-year history if there is an additional cumulative risk of developing lung cancer of 5% or greater over the following 5 years. Lung cancer screening requires participation by a subspecialty-qualified team. The American Association for Thoracic Surgery will continue engagement with other specialty societies to refine future screening guidelines.Conclusions: The American Association for Thoracic Surgery provides specific guidelines for lung cancer screening in North America. (J Thorac Cardiovasc Surg 2012;144:33-8)