151. Systematic Review of Lung Cancer Screening: Advancements and Strategies for Implementation.
- Author
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Amicizia, Daniela, Piazza, Maria Francesca, Marchini, Francesca, Astengo, Matteo, Grammatico, Federico, Battaglini, Alberto, Schenone, Irene, Sticchi, Camilla, Lavieri, Rosa, Di Silverio, Bruno, Andreoli, Giovanni Battista, and Ansaldi, Filippo
- Subjects
DELAYED diagnosis ,ONLINE information services ,POLLUTANTS ,CONFIDENCE intervals ,EARLY detection of cancer ,LUNG tumors ,TUMOR classification ,RISK assessment ,CANCER survivors ,DESCRIPTIVE statistics ,COST effectiveness ,MEDLINE ,PASSIVE smoking ,DISEASE risk factors - Abstract
Lung cancer is the leading cause of cancer-related deaths in Europe, with low survival rates primarily due to late-stage diagnosis. Early detection can significantly improve survival rates, but lung cancer screening is not currently implemented in Italy. Many countries have implemented lung cancer screening programs for high-risk populations, with studies showing a reduction in mortality. This review aimed to identify key areas for establishing a lung cancer screening program in Italy. A literature search was conducted in October 2022, using the PubMed and Scopus databases. Items of interest included updated evidence, approaches used in other countries, enrollment and eligibility criteria, models, cost-effectiveness studies, and smoking cessation programs. A literature search yielded 61 scientific papers, highlighting the effectiveness of low-dose computed tomography (LDCT) screening in reducing mortality among high-risk populations. The National Lung Screening Trial (NLST) in the United States demonstrated a 20% reduction in lung cancer mortality with LDCT, and other trials confirmed its potential to reduce mortality by up to 39% and detect early-stage cancers. However, false-positive results and associated harm were concerns. Economic evaluations generally supported the cost-effectiveness of LDCT screening, especially when combined with smoking cessation interventions for individuals aged 55 to 75 with a significant smoking history. Implementing a screening program in Italy requires the careful consideration of optimal strategies, population selection, result management, and the integration of smoking cessation. Resource limitations and tailored interventions for subpopulations with low-risk perception and non-adherence rates should be addressed with multidisciplinary expertise. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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