Translating New Lung Cancer Screening Guidelines into Practice: The Experience of One Community Hospital
| Autor: | Dean A. Seehusen, Patrick D. Saas, Jessica L. Wall, Christy J.W. Ledford, Breanna L. Gawrys |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Computed tomography Hospitals Community 03 medical and health sciences 0302 clinical medicine Cancer screening medicine Humans Mass Screening 030212 general & internal medicine Lung cancer Lung Early Detection of Cancer Incidental Findings medicine.diagnostic_test Task force business.industry Public Health Environmental and Occupational Health Patient-centered care medicine.disease Community hospital United States 030220 oncology & carcinogenesis Family medicine Organizational Case Studies Practice Guidelines as Topic Observational study Guideline Adherence Family Practice business Tomography X-Ray Computed Lung cancer screening |
| Zdroj: | Journal of the American Board of Family Medicine : JABFM. 29(1) |
| ISSN: | 1558-7118 |
| Popis: | Introduction: In December 2013 the US Preventive Services Task Force issued a recommendation for lung cancer screening with annual low-dose computed tomography (LDCT). As screening guidelines emerge and change, this creates an environment for studying the translation of these guidelines into practice. This study assessed how these guidelines were implemented in a community hospital setting and the resulting radiologic findings. Methods: This observational study examined the radiologic outcomes of LDCT lung cancer screening guidelines and the resulting notification. Results: During the first year after publication of the guidelines, 94 screening LDCT scans were ordered. Of these, 21 (22.3%) did not meet the criteria outlined by the US Preventive Services Task Force. Among the 72 cases that did met published criteria, 65.3% of scans detected nodules, and among the remaining 35.6%, half had another clinically significant finding. Discussion: This study shows that new lung cancer screening guidelines, as implemented at a community hospital, resulted in radiologic findings that required follow-up in more than half of patients. Clinicians must be aware of these potential incidental findings when talking to patients about the decision to order screenings. |
| Databáze: | OpenAIRE |
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