Translating New Lung Cancer Screening Guidelines into Practice: The Experience of One Community Hospital.
J Am Board Fam Med
; 29(1): 152-5, 2016.
Article
in En
| MEDLINE
| ID: mdl-26769888
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Mass Screening
/
Early Detection of Cancer
/
Lung Neoplasms
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Am Board Fam Med
Year:
2016
Document type:
Article