Prevalent findings on low-dose CT scan lung cancer screening: a French prospective pilot study.

Autor:	Grenier PA; Department of Clinical Research and Innovation, Foch Hospital, Suresnes, France., Arutkin M; Department of Epidemiology and Public Health, Foch Hospital, Suresnes, France., Brun AL; Department of Radiology, Foch Hospital, Suresnes, France., Métivier AC; Department of Pneumology, Foch Hospital, Suresnes, France., Sage E; Department of Thoracic Surgery, Foch Hospital, Suresnes, France., Haziza F; Department of Cardiology, Foch Hospital, Suresnes, France., Ackermann F; Department of Internal Medicine, Foch Hospital, Suresnes, France., Mellot F; Department of Radiology, Foch Hospital, Suresnes, France., Vallée A; Department of Epidemiology and Public Health, Foch Hospital, Suresnes, France.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2024 Nov 20. Date of Electronic Publication: 2024 Nov 20.
DOI:	10.1093/eurpub/ckae183
Abstrakt:	Despite significant therapeutic advances, lung cancer remains the biggest killer among cancers. In France, there is no national screening program against lung cancer. Thus, in this perspective, the Foch Hospital decided to implement a pilot and clinical low-dose CT screening program to evaluate the efficiency of such screening. The purpose of this study was to describe the prevalent findings of this low-dose CT screening program. Participants were recruited in the screening program through general practitioners (GPs), pharmacists, and specialists from June 2023 to June 2024. The inclusion criteria included male or female participants aged 50 to 80 years, current smokers or former smokers who had quit less than 15 years prior, with a smoking history of over 20 pack-years. Chest CT scans were conducted at Foch Hospital using a low-dose CT protocol based on volume mode with a multi-slice scanner (≥60 slices) without contrast injection. In total, 477 participants were recruited in the CT scan screening, 235 (49%) were males with a median age of 60 years [56-67] and 35 smoke pack-years [29-44] and 242 females (51%) with a median age of 60 years [55-60] and 30 smoke pack-years [25-40]. Eight participants showed positive nodules on CT scan, as a 1.7% rate. 66.7% of diagnosed cancers were in early stages (0-I). It is feasible to implement structured lung cancer screening using low-dose CT in a real-world setting among the general population. This approach successfully identifies most early-stage cancers that could be treated curatively. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
Databáze:	MEDLINE
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