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Thorax：基于社区的社会化干预有助于早期发现肺癌

2012-05-17 刘素梅 编译 医学论坛网

症状肺癌诊断
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一项来自英国的研究表明，认识肺癌的症状并早期进行相关检查有助于肺癌诊断。该论文于2012年5月发表在《胸腔》（Thorax）杂志上。〔Thorax.2012 May;67(5):412-7. Epub 2011 Nov 2.〕 　　在英国，肺癌存活率低可能部分原因是由于延误诊断造成的。该研究的目的是评价混合法以社区为基础的社会营销干预对肺癌诊断的有效性。 　　在6个肺癌高发地区，指导人们在一般

一项来自英国的研究表明，认识肺癌的症状并早期进行相关检查有助于肺癌诊断。该论文于2012年5月发表在《胸腔》（Thorax）杂志上。〔Thorax.2012 May;67(5):412-7. Epub 2011 Nov 2.〕

　　在英国，肺癌存活率低可能部分原因是由于延误诊断造成的。该研究的目的是评价混合法以社区为基础的社会营销干预对肺癌诊断的有效性。

　　在6个肺癌高发地区，指导人们在一般做法中进行一项公众认识运动和短暂干预训练。终点为对以下几项进行干预前后的对比：受试者自我报告的对肺癌症状的认识、寻求医疗救治的愿意、初级保健中胸部X线检查转诊率、肺癌发病的长期趋势和诊断时的分期。

　　结果：与对照区域的有效者相比，干预区域的有效者表示会因为咳嗽去看全科医生并要求进行肺部X线检查者为前者的1.97倍(p=0.01)。与对照组降低2%相比，在干预后一年时目标组初级保健胸部X线检查转诊率增加了20%。差异具有显著性，发病率比值比为1.22 (p=0.001)。与对照区域的下降相比，干预区域的肺癌诊断率增加了27%。发病率比值比为1.42 (p=0.199)。

原始链接：

Athey VL, et al.Early diagnosis of lung cancer: evaluation of a community-based social marketing intervention.Thorax. 2012 May;67(5):412-7. Epub 2011 Nov 2.
免费全文下载：412.full.pdf
 

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    2012-05-19 ms6832696159214430

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    2012-05-19 12498e67m28暂无昵称

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    2012-05-19 ms705947299214030

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