Earlier diagnosis of lung cancer

•In the last 30 years, the prognosis for lung cancer patients has improved only moderately in Denmark.•X-rays of the thorax often delay the diagnosis of lung cancer and worsen the prognosis and should be replaced with low-dose CT if there is only a minor suspicion of lung cancer (the 3rd diagnostic...

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Bibliographic Details
Published in:Cancer treatment and research communications 2022, Vol.31, p.100561-100561, Article 100561
Main Authors: Nielsen, Agnete Hedemann, Fredberg, Ulrich
Format: Article
Language:English
Subjects:
Diagnostic pathways in lung cancer
Early diagnosis in lung cancer
General practitioner
Hospitals
Humans
Low-doseCT
Lung Neoplasms - diagnosis
Mass Screening
Open acsess CT
Referral and Consultation
Tomography, X-Ray Computed
Unspecific symptoms in lung cancer
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Summary:•In the last 30 years, the prognosis for lung cancer patients has improved only moderately in Denmark.•X-rays of the thorax often delay the diagnosis of lung cancer and worsen the prognosis and should be replaced with low-dose CT if there is only a minor suspicion of lung cancer (the 3rd diagnostic track).•By allowing the GP to be referred for low-dose CT of the thorax in the 3rd diagnostic track, contact will be made with many of the persons whom the screenings do not capture. The purpose of this article is to review options for more rapid diagnosis of lung cancer at an earlier stage, thereby improving survival. These options include screening, allowing general practitioners to refer patients directly to low-dose computed tomography scan instead of a chest X-ray and the abolition of the "visitation filter", i.e. hospital doctors’ ability to reject referrals from general practitioners without prior discussion with the referring doctor.
ISSN:2468-2942
2468-2942
DOI:10.1016/j.ctarc.2022.100561