Lung Cancer Mortality and the Availability of Chest Computerized Tomography: A Longitudinal Nationwide Study.

Autor: Ponte EV; Faculdade de Medicina de Jundiaí, Jundiaí, Brazil., Fanelli MF; Faculdade de Medicina de Jundiaí, Jundiaí, Brazil., Ferreira RTR; Faculdade de Medicina de Jundiaí, Jundiaí, Brazil., Pereira JF; Physiotherapy School, Centro Universitário São Camilo, São Paulo, Brazil., Alcadipane MSES; Faculdade de Medicina de Jundiaí, Jundiaí, Brazil., de Lima VB; Núcleo de Excelência em Asma, Universidade Federal da Bahia, Salvador, Brazil., Marchi E; Faculdade de Medicina de Jundiaí, Jundiaí, Brazil., Dos Santos RS; Hospital Cardiopulmonar, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Cancer investigation [Cancer Invest] 2020 May; Vol. 38 (5), pp. 270-276. Date of Electronic Publication: 2020 May 25.
DOI: 10.1080/07357907.2020.1768400
Abstrakt: Lung-cancer screening with chest computerized tomography (CT) is not easy to introduce in low-medium resource countries due to cost issues. We investigated whether the increasing availability of chest CT exams in Brazil, in spite of no lung-cancer screening protocol, was associated with lung-cancer death rate along 10-year follow-up. We performed regressions to estimate the rate ratio between chest CT exams and lung-cancer deaths per 10 5 inhabitants. We stratified data per municipality. Regressions were adjusted for physicians and hospital beds per 10 5 inhabitants and per capita gross domestic product. Increasing availability of chest CT exams predicted decreasing lung-cancer death rate.
Databáze: MEDLINE