Lung Cancer Screening Initiative in Slovakia: Guidelines of screening implementation

Bratislava Medical Journal

article

Dominik JUSKANIC¹  Frantisek SANDOR³  Lucia DENKOVA⁵  Peter JUHOS⁶  Miroslav JANIK⁷  Jonathan HONTZAS⁷  Jana POLAKOVA MISTINOVA²  Michal SENITKO⁷  Martina ONDRUSOVA⁸ 

[1]JESSENIUS ‒ diagnostic center

[2]Department of Radiology, Comenius University, Faculty of Medicine & Slovak Medical University, University Hospital

[3]Department of Pneumology and Phthisiology, Comenius University, Faculty of Medicine, University Hospital

[4]Penobscot Respiratory Associates, Northern Lights Eastern Maine Medical Center

[5]Pneumo-oncology Unit, Department of Pneumology and Phthisiology, University Hospital

[6]Department of Thoracic Surgery, Slovak Medical University, University Hospital

[7]Departments of Medicine and Surgery, University of Mississippi Medical Center

[8]Department of Epidemiology and Statistics

[9]Department of Preventive and Clinical Medicine, Faculty of Public Health, Slovak Medical University

关键词: lung cancer;    screening;    early detection;    smoking cessation;   

DOI  :  10.4149/BLL_2023_016

学科分类：医学（综合）

来源: AEPress, s.r.o.

【 摘 要 】

Lung cancer (LC) represents a major healthcare issue worldwide. It is the leading cause of cancer-related mortality in Slovakia and European Union. Data from multiple randomized controlled trials have shown significant evidence of a mortality benefit in LC using screening with low-dose computed tomography of the chest (LDCT). Therefore, European healthcare authorities, relevant expert societies, and professional organizations recommend implementing national LC screening (LCS) programs in their member countries. This article outlines the basic methodology, guidelines, and practical aspects of LCS implementation strategies in Slovakia. We describe fundamental principles to identify asymptomatic high-risk patients reduce false positive and false negative results, decrease benign resection rates, and avoid unnecessary invasive procedures. The efficacious utilization of public resources to secure the highest possible quality standards of LDCT plays a crucial role in successfully implementing a nationwide LCS program (Tab. 1, Fig. 4, Ref. 31).

【 授权许可】

CC BY