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dc.contributor.author
Boyeras, Iris
dc.contributor.author
Roberti, Javier Eugenio
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Seijo, Mariana
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Suárez, Verónica
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Morero, José Luis
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Patané, Ana Karina
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Kaen, Diego Lucas
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Lamot, Sebastián
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Castro, Mónica
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Re, Ricardo
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García, Artemio
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Vujacich, Patricia
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Videla, Alejandro
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Recondo, Gonzalo
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Fernández Pazos, Alfonso
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Lyons, Gustavo
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Paladini, Dario Hugo
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Benítez, Sergio
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Martín, Claudio
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Defranchi, Sebastián
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Paganini, Lisandro
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Quadrelli, Silvia
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Rossini, Sebastián
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Garcia Elorrio, Ezequiel
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Sobrino, Edgardo
dc.date.available
2024-03-06T13:54:56Z
dc.date.issued
2023-02
dc.identifier.citation
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
dc.identifier.uri
http://hdl.handle.net/11336/229529
dc.description.abstract
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.
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application/pdf
dc.language.iso
eng
dc.publisher
BMJ Publishing Group
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
ADULT THORACIC MEDICINE
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COMPUTED TOMOGRAPHY
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ONCOLOGY
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PROTOCOLS & GUIDELINES
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Oncología
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Argentine consensus recommendations for lung cancer screening programmes: A RAND/UCLA-modified Delphi study
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-02-28T10:29:52Z
dc.identifier.eissn
2044-6055
dc.journal.volume
13
dc.journal.number
2
dc.journal.pagination
1-9
dc.journal.pais
Reino Unido
dc.description.fil
Fil: Boyeras, Iris. Universidad de Buenos Aires; Argentina
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Fil: Roberti, Javier Eugenio. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: Seijo, Mariana. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: Suárez, Verónica. Clinica Bazterrica; Argentina
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Fil: Morero, José Luis. Instituto Alexander Fleming; Argentina
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Fil: Patané, Ana Karina. Hospital María Ferrer; Argentina
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Fil: Kaen, Diego Lucas. Universidad Nacional de La Rioja; Argentina
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Fil: Lamot, Sebastián. Conciencia Clinic; Argentina
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Fil: Castro, Mónica. Universidad de Buenos Aires; Argentina
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Fil: Re, Ricardo. Centro de Educación Medica E Invest.clinicas; Argentina
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Fil: García, Artemio. Hospital Británico de Buenos Aires; Argentina. Sanatorio Posadas; Argentina
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Fil: Vujacich, Patricia. Universidad de Buenos Aires. Facultad de Medicina. Hospital de Clínicas General San Martín; Argentina
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Fil: Videla, Alejandro. Universidad Austral; Argentina
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Fil: Recondo, Gonzalo. Centro de Educaciones Médicas e Investigación Clínica "Norberto Quirno"; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Fernández Pazos, Alfonso. Organización de Servicios Directos Empresarios; Argentina
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Fil: Lyons, Gustavo. Hospital Británico de Buenos Aires; Argentina
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Fil: Paladini, Dario Hugo. Medical Images Service MIT Group; Argentina
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Fil: Benítez, Sergio. Gobierno de la Provincia de Buenos Aires. Hospital Doctor Ramón Carrillo; Argentina
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Fil: Martín, Claudio. Hospital María Ferrer; Argentina. Instituto Alexander Fleming; Argentina
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Fil: Defranchi, Sebastián. Fundación Favaloro; Argentina
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Fil: Paganini, Lisandro. Instituto Alexander Fleming; Argentina
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Fil: Quadrelli, Silvia. Sanatorio Guemes; Argentina. Hospital Británico de Buenos Aires; Argentina
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Fil: Rossini, Sebastián. Radiology Institute of Mar del Plata; Argentina
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Fil: Garcia Elorrio, Ezequiel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Sobrino, Edgardo. Sanatorio Mater Dei; Argentina
dc.journal.title
BMJ Open
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1136/bmjopen-2022-068271
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/content/13/2/e068271
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