Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement
Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement
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DOI：
10.7326/m13-2771
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发表时间：
2014-03-04
影响因子：
39.2
通讯作者：
Moyer, Virginia A.
中科院分区：
文献类型：
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作者：
Moyer, Virginia A.
产品描述：更新2004年美国预防服务工作组（USPSTF）关于肺癌筛查的建议。方法：USPSTF审查了低剂量计算机断层扫描，胸部X线摄影，和痰细胞学评估用于无症状的处于肺癌平均或高风险的人的肺癌筛查（目前或以前的吸烟者）以及这些筛查测试和手术切除早期非小细胞肺癌的益处和危害。USPSTF还委托进行了模型研究，以提供有关开始和结束筛查的最佳年龄、最佳筛查间隔以及不同筛查策略的相对益处和危害的信息。人群：本建议适用于年龄在55至80岁、有30包年吸烟史、目前吸烟或在过去15年内戒烟的无症状成年人。USPSTF建议每年对55至80岁的成年人进行低剂量计算机断层扫描筛查肺癌，这些人有30包年的吸烟史，目前吸烟或在过去15年内戒烟。一旦一个人已经15年没有吸烟，或者出现了严重限制预期寿命或进行治愈性肺部手术的能力或意愿的健康问题，就应该停止筛查。（B建议）
Description: Update of the 2004 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for lung cancer.Methods: The USPSTF reviewed the evidence on the efficacy of low-dose computed tomography, chest radiography, and sputum cytologic evaluation for lung cancer screening in asymptomatic persons who are at average or high risk for lung cancer (current or former smokers) and the benefits and harms of these screening tests and of surgical resection of early-stage non-small cell lung cancer. The USPSTF also commissioned modeling studies to provide information about the optimum age at which to begin and end screening, the optimum screening interval, and the relative benefits and harms of different screening strategies.Population: This recommendation applies to asymptomatic adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.Recommendation: The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. (B recommendation)