Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines

Detalhes bibliográficos
Autor(a) principal: Emmerick, Isabel Cristina Martins
Data de Publicação: 2023
Outros Autores: Campos, Mônica Rodrigues, Pires, Debora Castanheira, Muzzy, Jessica, Marques, Aline, Chaves, Luisa Arueira, Silva, Mario Jorge Sobreira da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/60895
Resumo: Inclui como material suplementar dados tabelados, sendo eles 1. LCDRAT and LCRAT calculator applied for current and former smokers aged 50-80 years old, 2. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2013 eligibility criteria. 3. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2021 eligibility criteria
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spelling Emmerick, Isabel Cristina MartinsCampos, Mônica RodriguesPires, Debora CastanheiraMuzzy, JessicaMarques, AlineChaves, Luisa ArueiraSilva, Mario Jorge Sobreira da2023-10-24T19:33:53Z2023-10-24T19:33:53Z2023Emmerick, Isabel Cristina Martins et al. Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines. 2023. 24p.https://www.arca.fiocruz.br/handle/icict/60895Inclui como material suplementar dados tabelados, sendo eles 1. LCDRAT and LCRAT calculator applied for current and former smokers aged 50-80 years old, 2. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2013 eligibility criteria. 3. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2021 eligibility criteriaUMass Chan Medical School. Department of Surgery. Division of Thoracic Surgery. Massachusetts, United States.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Instituto de Ciências Farmacêuticas. Macaé, RJ, Brasil.Instituto Nacional de Câncer. Coordenação de Ensino. Rio de Janeiro, RJ, Brasil.Abstract Importance. In Brazil, from 2023 to 2025, it is estimated that lung cancer (LC) will be the second most frequent cancer, and the country does not have an LC Screening (LCS) policy. Objective: To compare the number of individuals eligible for screening, 5-year preventable LC-deaths, and years of life gained (YLG) if LC-death is averted due to LCS, considering three eligibility strategies by sociodemographic characteristics. Design: Comparative Effectiveness Research, assessing three LCS criteria by applying a modified version of the LC-Death Risk Assessment Tool (LCDRAT) and the LC-Risk Assessment Tool (LCRAT). Setting: 2019 Brazilian National Household Survey (BNHS). Participants: ever-smokers aged 50-80 years. Intervention: a) ever-smokers aged 50-80 years; US-Preventive-Services-Task-Force (USPSTF-2013): ever-smokers aged 55-80 years with 30 or more pack-years and less than 15 years since cessation and c) USPSTF-2021: ever-smokers ages 50-80 years with 20-pack-year, and less than 15 years since cessation. Primary Outcome(s): individuals eligible for screening, 5-year preventable LC-deaths, and years of life gained (YLG) if LC-death is averted due to screening. Results: In Brazil, the eligible population for LCS was, respectively, 27,280,920 when considering ever-smokers aged 50-80 years (49.1% female, 48.6% 50-60 years-old, 47% white,45.6% with incomplete middle school and 47.1% living at the Southeast region); 5,144,322 individuals as per USPSTF-2013 criteria (40.6% female, 44.5% 61-70 years-old, 48.8% white, 47.4% with incomplete middle school and 50% living at the Southeast region); and 8,380,279 for USPSTF-2021 (41.9% female, 51.9% 50-60 years-old, 48.8% white, 48% with incomplete middle school and 49.7% living at the Southeast region). In the USPSTF-2013 criteria, the number needed to screen (NNS) was 177 individuals to prevent one death, while following USPSTF-2021, it was 242. For ever-smokers, the YLG was 23, 19 for USPSTF-2013 and 21 for USPSTF-2021. Being Black, having less than a high school education, and living in North and Northeast regions increases the 5-year risk of LC-death. Conclusions In this comparative effectiveness study, USPSTF-2021 criteria were better than USPSTF-2013 on reducing disparities. Nonetheless, the risk of LC death remained unequal. Our results underscore the importance of identifying an appropriate approach for high-risk populations for LCS, considering the local epidemiological context.engJAMACâncer de PulmãoCalculadora de RiscoRastreamentoTomografia Computadorizada de Baixa DoseDetecção em Estágios Iniciaisung cancerCT ScreeningLung Cancer MortalityEarly Cancer DetectionCT ScreeningLung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) GuidelinesLCDRAT and LCRAT calculator applied to three risk criteria in the Brazilian populationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/60895/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALJNO23-7471R1_Merged_v10_20_2023.pdfJNO23-7471R1_Merged_v10_20_2023.pdfapplication/pdf1378429https://www.arca.fiocruz.br/bitstream/icict/60895/2/JNO23-7471R1_Merged_v10_20_2023.pdfa55b5ee5f1d3ff1d5435a30d3cf09ac4MD52Supplemental material 1. LCDRAT and LCRAT calculator applied for current and former smokers aged 50-80 years old.xlsxSupplemental material 1. LCDRAT and LCRAT calculator applied for current and former smokers aged 50-80 years old.xlsxapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet25673446https://www.arca.fiocruz.br/bitstream/icict/60895/3/Supplemental%20material%201.%20LCDRAT%20and%20LCRAT%20calculator%20applied%20for%20current%20and%20former%20smokers%20aged%2050-80%20years%20old.xlsxb640499c20b9ca724b68943585b14cb2MD53Supplemental material 2. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2013 eligibility criteria..xlsxSupplemental material 2. 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dc.title.en_US.fl_str_mv Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
dc.title.alternative.en_US.fl_str_mv LCDRAT and LCRAT calculator applied to three risk criteria in the Brazilian population
title Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
spellingShingle Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
Emmerick, Isabel Cristina Martins
Câncer de Pulmão
Calculadora de Risco
Rastreamento
Tomografia Computadorizada de Baixa Dose
Detecção em Estágios Iniciais
ung cancer
CT Screening
Lung Cancer Mortality
Early Cancer Detection
CT Screening
title_short Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
title_full Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
title_fullStr Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
title_full_unstemmed Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
title_sort Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines
author Emmerick, Isabel Cristina Martins
author_facet Emmerick, Isabel Cristina Martins
Campos, Mônica Rodrigues
Pires, Debora Castanheira
Muzzy, Jessica
Marques, Aline
Chaves, Luisa Arueira
Silva, Mario Jorge Sobreira da
author_role author
author2 Campos, Mônica Rodrigues
Pires, Debora Castanheira
Muzzy, Jessica
Marques, Aline
Chaves, Luisa Arueira
Silva, Mario Jorge Sobreira da
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Emmerick, Isabel Cristina Martins
Campos, Mônica Rodrigues
Pires, Debora Castanheira
Muzzy, Jessica
Marques, Aline
Chaves, Luisa Arueira
Silva, Mario Jorge Sobreira da
dc.subject.other.en_US.fl_str_mv Câncer de Pulmão
Calculadora de Risco
Rastreamento
Tomografia Computadorizada de Baixa Dose
Detecção em Estágios Iniciais
topic Câncer de Pulmão
Calculadora de Risco
Rastreamento
Tomografia Computadorizada de Baixa Dose
Detecção em Estágios Iniciais
ung cancer
CT Screening
Lung Cancer Mortality
Early Cancer Detection
CT Screening
dc.subject.en.en_US.fl_str_mv ung cancer
CT Screening
Lung Cancer Mortality
Early Cancer Detection
CT Screening
description Inclui como material suplementar dados tabelados, sendo eles 1. LCDRAT and LCRAT calculator applied for current and former smokers aged 50-80 years old, 2. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2013 eligibility criteria. 3. LCDRAT and LCRAT calculator applied for current and former smokers eligible for low-dose CT lung cancer screening under USPSTF-2021 eligibility criteria
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-10-24T19:33:53Z
dc.date.available.fl_str_mv 2023-10-24T19:33:53Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv Emmerick, Isabel Cristina Martins et al. Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines. 2023. 24p.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/60895
identifier_str_mv Emmerick, Isabel Cristina Martins et al. Lung Cancer Screening in Brazil: A Modeling Analysis Comparing the 2013 and 2021 United States Preventive Services Task Force (USPSTF) Guidelines. 2023. 24p.
url https://www.arca.fiocruz.br/handle/icict/60895
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dc.publisher.none.fl_str_mv JAMA
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