Physicians' knowledge and practice of lung cancer screening: a cross-sectional survey comparing general practitioners, thoracic oncologists, and pulmonologists in France

Autor: Sébastien, Couraud, Nicolas, Girard, Sylvie, Erpeldinger, François, Gueyffier, Gilles, Devouassoux, Guy, Llorca, Pierre Jean, Souquet, Pierre-Jean, Valette
Přispěvatelé: Evaluation et modélisation des effets thérapeutiques, Département biostatistiques et modélisation pour la santé et l'environnement [LBBE], Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)
Rok vydání: 2013
Předmět:
Pulmonary and Respiratory Medicine
Cancer Research
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Lung Neoplasms
Cross-sectional study
Attitude of Health Personnel
[SDV]Life Sciences [q-bio]
Computed tomography
Medical Oncology
03 medical and health sciences
0302 clinical medicine
General Practitioners
Physicians
Surveys and Questionnaires
medicine
Pulmonary Medicine
Humans
030212 general & internal medicine
Practice Patterns
Physicians'
Lung cancer
Pulmonologists
Early Detection of Cancer
medicine.diagnostic_test
business.industry
Mortality rate
medicine.disease
Prognosis
3. Good health
Clinical Practice
Cross-Sectional Studies
Oncology
Current practice
030220 oncology & carcinogenesis
Family medicine
Clinical Competence
France
business
Tomography
X-Ray Computed
Lung cancer screening
Zdroj: Clinical Lung Cancer
Clinical Lung Cancer, 2013, 14, pp.574-80. ⟨10.1016/j.cllc.2013.05.003⟩
Clinical Lung Cancer, Elsevier, 2013, 14, pp.574-80. ⟨10.1016/j.cllc.2013.05.003⟩
ISSN: 1938-0690
1525-7304
Popis: Screening for lung cancer by low-dose computed tomography scan (LDCTS) has been demonstrated to reduce lung cancer-specific and overall mortality rates in high-risk individuals. From trial to clinical practice, it is crucial to obtain an accurate level of knowledge of the physicians who will recruit patients for a screening program. The actual current practice and knowledge of practitioners are unknown. This could be critical to develop dedicated continuous medical education programs.Three groups of French physicians--pulmonologists (PUs), thoracic oncologists (TOs), and general practitioners (GPs)--were surveyed through a dedicated questionnaire on lung cancer screening.A total of 242 physicians answered the questionnaire; 81% of TOs knew that LDCTS showed efficacy for screening lung cancer compared with 52% of PUs and 18% of GPs (P.0001). Approximately one third of physicians recommended lung cancer screening in daily practice at the time of the survey, including 53% of PUs, 34% of TOs, and 20% of GPs (P.001). However, 94% of GPs, 44% of PUs, and 33% of TOs used inappropriate tests, mainly chest radiography. Most GPs proposed screening for all smokers, whereas PUs and TOs reserved screening for heavy smokers (P = .040). Most PUs and TOs recommended annual LDCTS (76%), whereas the majority of GPs sent patients for screening tests every 3 to 5 years (93%; P.0001).These results highlight the interest of physicians for lung cancer screening; meanwhile, our data stress the need for appropriate medical education and recommendations based on available evidence.
Databáze: OpenAIRE
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