sábado, 4 de enero de 2014

Screning Cáncer de Pulmón: Recomendaciones finales

The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery. (B recommendation)
En Annals Internal Medicine

Sobrediagnóstico  con TAC de baja radiación en el screning de cáncer de Pulmón.JAMA
Investigaciones en progreso sugieren como técnica de cribaje  previo a TAC , la citología de esputo en pacientes con alto riesgo:Thorax
Revisión en Intern Journal Clinical Practice

BIBLIOGRAFÍA
  1.  Bach BP, et al. "Benefits and harms of CT screening for lung cancer: a systematic review." JAMA. 2012 Jun 13;307(22):2418-29.
  2. Jump up  Goulart BH et al. "Lung cancer screening with low-dose computed tomography: costs, national expenditures, and cost-effectiveness." J Natl Compr Canc Netw. 2012 Feb;10(2):267-75.
  3. Jump up  Pyenson, BS et al. "An actuarial analysis shows that offering lung cancer screening as an insurance benefit would save lives at relatively low cost. Health Affairs. 2012 Apr;31(4):770-9.
  4. Jump up  Sox HC. "Better Evidence about Screening for Lung Cancer." N Engl J Med. 2011; 365:455-457
  5. Jump up  Kovalchik SA, et al. "Targeting of Low-Dose CT Screening According to the Risk of Lung-Cancer Death." The New England Journal of Medicine. 2013:369(3):245-254.
  6. Jump up  uspreventiveservicestaskforce.com. Lung cancer screening guidelines. Published 2013. Accessed 2015-09-10.
  7. Jump up  PDF file - [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632634/pdf/nihms455663.pdf#page=11 Wender R, et al. "American Cancer Society lung cancer screening guidelines." CA2013;63(2):107-117.}
  8. Jump up  Letters to the editor: Reduced lung-cancer mortality with CT screening. N Engl J Med. 2011;365:2035-2038.
  9. Jump up  Horeweg N, et al. Blinded and uniform cause of death verification in a lung cancer CT screening trial. Lung Cancer. 2012. 77(3):522-525.
  10. Jump up  Heuvers ME, et al. Generalizability of results from the National Lung Screening Trial. European Journal of Epidemiology. 2012.
  11. Jump up  Tammemagi MC, et al. "Selection Criteria for Lung-Cancer Screening." NEJM 2013;368:728-736.

No hay comentarios: