Artículo
Argentine consensus recommendations for lung cancer screening programmes: A RAND/UCLA-modified Delphi study
Boyeras, Iris; Roberti, Javier Eugenio
; Seijo, Mariana
; Suárez, Verónica; Morero, José Luis; Patané, Ana Karina; Kaen, Diego Lucas; Lamot, Sebastián; Castro, Mónica; Re, Ricardo; García, Artemio; Vujacich, Patricia; Videla, Alejandro; Recondo, Gonzalo
; Fernández Pazos, Alfonso; Lyons, Gustavo; Paladini, Dario Hugo
; Benítez, Sergio; Martín, Claudio; Defranchi, Sebastián; Paganini, Lisandro; Quadrelli, Silvia; Rossini, Sebastián; Garcia Elorrio, Ezequiel
; Sobrino, Edgardo
Fecha de publicación:
02/2023
Editorial:
BMJ Publishing Group
Revista:
BMJ Open
e-ISSN:
2044-6055
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Background Lung cancer (LC) screening improves LC survival; the best screening method in terms of improving survival is low-dose CT (LDCT), outpacing chest X-ray and sputum cytology. Methods A consensus of experts in Argentina was carried out to review the literature and generate recommendations for LC screening programmes. A mixed-method study was used with three phases: (1) review of the literature; (2) modified Delphi consensus panel; and (3) development of the recommendations. The Evidence to Decision (EtD) framework was used to generate 13 evaluation criteria. Nineteen experts participated in four voting rounds. Consensus among participants was defined using the RAND/UCLA method. Results A total of 16 recommendations scored ≥7 points with no disagreement on any criteria. Screening for LC should be performed with LDCT annually in the population at high-risk, aged between 55 and 74 years, regardless of sex, without comorbidities with a risk of death higher than the risk of death from LC, smoking ≥30 pack-years or former smokers who quit smoking within 15 years. Screening will be considered positive when finding a solid nodule ≥6mm in diameter (or ≥113mm3 ) on baseline LDCT and 4mm in diameter if a new nodule is identified on annual screening. A smoking cessation programme should be offered, and cardiovascular risk assessment should be performed. Institutions should have a multidisciplinary committee, have protocols for the management of symptomatic patients not included in the programme and distribute educational material. Conclusion The recommendations provide a basis for minimum requirements from which local institutions can develop their own protocols adapted to their needs and resources.
Archivos asociados
Licencia
Identificadores
Colecciones
Articulos(CIESP)
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Citación
Boyeras, Iris; Roberti, Javier Eugenio; Seijo, Mariana; Suárez, Verónica; Morero, José Luis; et al.; Argentine consensus recommendations for lung cancer screening programmes: A RAND/UCLA-modified Delphi study; BMJ Publishing Group; BMJ Open; 13; 2; 2-2023; 1-9
Compartir
Altmétricas