Do the 2013 United States Preventive Services Task Force guidelines for lung cancer screening fail high-risk African American smokers? An institutional retrospective observational cohort study

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Aswani Thurlapati ◽  
Carol S. Velez-Martinez ◽  
Samina Hirani ◽  
Jade Abad ◽  
Runhua Shi ◽  
...  
2011 ◽  
Vol 28 (7) ◽  
pp. 556-570 ◽  
Author(s):  
Francisco Helder Cavalcante Felix ◽  
Nadia Mendonça Trompieri ◽  
Orlandira Leite de Araujo ◽  
Karine Martins da Trindade ◽  
Juvenia Bezerra Fontenele

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043442
Author(s):  
Michael Snee ◽  
Sue Cheeseman ◽  
Matthew Thompson ◽  
Majid Riaz ◽  
Will Sopwith ◽  
...  

ObjectivesTo assess how a decade of developments in systematic anticancer therapy (SACT) for advanced non-small cell lung cancer (NSCLC) affected overall survival (OS) in a large UK University Hospital.DesignReal-world retrospective observational cohort study using existing data recorded in electronic medical records.SettingA large National Health Service (NHS) university teaching hospital serving 800 000 people living in a diverse metropolitan area of the UK.Participants2119 adults diagnosed with advanced NSCLC (tumour, node, metastasis stage IIIB or IV) between 2007 and 2017 at Leeds Teaching Hospitals NHS Trust.Main outcomes and measuresOS following diagnosis and the analysis of factors associated with receiving SACT.ResultsMedian OS for all participants was 2.9 months, increasing for the SACT-treated subcohort from 8.4 months (2007–2012) to 9.1 months (2013–2017) (p=0.02); 1-year OS increased from 33% to 39% over the same period for the SACT-treated group. Median OS for the untreated subcohort was 1.6 months in both time periods. Overall, 30.6% (648/2119) patients received SACT; treatment rates increased from 28.6% (338/1181) in 2007–2012 to 33.0% (310/938) in 2013–2017 (p=0.03). Age and performance status were independent predictors for SACT treatment; advanced age and higher performance status were associated with lower SACT treatment rates.ConclusionAlthough developments in SACT during 2007–2017 correspond to some changes in survival for treated patients with advanced NSCLC, treatment rates remain low and the prognosis for all patients remains poor.


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