Repeated CT scans on 12,984 Asians to diagnose lung cancer once it is suspected.

Autor:	Vy VPT; International PhD Program of Medicine, Taipei Medical University, Taipei, Taiwan., Chien LN; Institute of Health and Welfare Policy, National Yang Ming Chiao Tung University, Taipei, Taiwan.; Health Data Analytics and Statistics Center, Office of Data Science, Taipei Medical University, New Taipei City, Taiwan., Chen WT; Health Data Analytics and Statistics Center, Office of Data Science, Taipei Medical University, New Taipei City, Taiwan., Lin WY; Taiwan Radiological Society, Taipei, Taiwan., Chang YC; Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan., Hsu HH; Department of Radiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan., Chan WP; Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.; Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Jazyk:	angličtina
Zdroj:	Frontiers in oncology [Front Oncol] 2024 Sep 16; Vol. 14, pp. 1394402. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI:	10.3389/fonc.2024.1394402
Abstrakt:	In Taiwan, lung cancer remains the leading cause of cancer-related fatalities, resulting in substantial healthcare expenses. This research aims to evaluate both the frequency and the costs of low-dose computed tomography (LDCT) in individuals suspected of having lung cancer until their diagnosis of cancer. LDCT screening was not conducted on a population-wide scale, and asymptomatic participants had to cover the expenses for the screening personally or reimburse from other sources. If the screening results were positive or suspicious, National Health Insurance (NHI) could be utilized for subsequent follow-up examinations. This cohort study utilized the NHI Database and focused on individuals with suspected cases of lung cancer identified between 2010 and 2014. A total of 17,572 suspected new lung cancer cases were initially identified and assigned to the relevant International Classification of Diseases codes. Individuals with suspected lung cancer received a diagnosis following an average follow-up period of 2.24 (95%CI, 2.11-2.37) years, and required the use of 2.36 (95%CI, 2.20-2.51) repeated CT scans. The NHI expenditures incurred by the use of CT scans for monitoring suspected lung cancer cases were relatively modest. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Vy, Chien, Chen, Lin, Chang, Hsu and Chan.)
Databáze:	MEDLINE
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