关于在葡萄牙实施国家肺癌筛查计划的建议——共识声明。
Recommendations for the implementation of a national lung cancer screening program in Portugal-A consensus statement.
发表日期:2024 Aug 06
作者:
M G O Fernandes, M Dias, R Santos, S Ravara, P Fernandes, J Firmino-Machado, J P Antunes, O Fernandes, A Madureira, V Hespanhol, C Rodrigues, C A Vicente, S Alves, G Mendes, R Ilgenfritz, B S Pinto, J Alves, I Saraiva, C Bárbara, M A Cipriano, A Figueiredo, M S Uva, N Jacinto, L Curvo-Semedo, A Morais
来源:
Pulmonology
摘要:
肺癌(LC)是全球癌症相关死亡的主要原因。使用低剂量计算机断层扫描 (LDCT) 的肺癌筛查 (LCS) 计划已被证明可将 LC 死亡率降低高达 25%,并且被认为具有成本效益。欧洲卫生联盟鼓励其成员国探索在各自国家实施LCS的可行性。工作组进行了全面的文献回顾并进行了广泛的讨论以提供建议。这些建议涵盖了按照世界卫生组织制定的指导方针启动濒海战斗舰试点计划所需的基本组成部分。它们是根据葡萄牙医疗保健系统的具体情况量身定制的。该文件讨论了关键方面,包括符合资格的人群、发出邀请的方法、放射学先决条件、报告结果的程序、转诊流程、诊断策略、计划实施和持续监测。此外,工作组强调,将 LCS 与循证戒烟相结合应该成为高质量筛查计划的护理标准。本文件还确定了需要进一步研究的领域。这些建议旨在保证葡萄牙 LCS 计划的实施确保各中心的高质量标准、一致性和统一性。版权所有 © 2024 Sociedade Portuguesa de Pneumologia。由 Elsevier España 出版,S.L.U.版权所有。
Lung cancer (LC) is a leading cause of cancer-related mortality worldwide. Lung Cancer Screening (LCS) programs that use low-dose computed tomography (LDCT) have been shown to reduce LC mortality by up to 25 % and are considered cost-effective. The European Health Union has encouraged its Member States to explore the feasibility of LCS implementation in their respective countries. The task force conducted a comprehensive literature review and engaged in extensive discussions to provide recommendations. These recommendations encompass the essential components required to initiate pilot LCS programs following the guidelines established by the World Health Organization. They were tailored to align with the specific context of the Portuguese healthcare system. The document addresses critical aspects, including the eligible population, methods for issuing invitations, radiological prerequisites, procedures for reporting results, referral processes, diagnostic strategies, program implementation, and ongoing monitoring. Furthermore, the task force emphasized that pairing LCS with evidence-based smoking cessation should be the standard of care for a high-quality screening program. This document also identifies areas for further research. These recommendations aim to guarantee that the implementation of a Portuguese LCS program ensures high-quality standards, consistency, and uniformity across centres.Copyright © 2024 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. All rights reserved.