Virtual Library
Start Your Search
Marcin Ostrowski
Author of
-
+
P2.13 - Radiology/Staging/Screening (ID 714)
- Event: WCLC 2017
- Type: Poster Session with Presenters Present
- Track: Radiology/Staging/Screening
- Presentations: 1
- Moderators:
- Coordinates: 10/17/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)
-
+
P2.13-010 - Five-Year-Long Follow-Up of the Low-Dose Computed Tomography Screening Programme in Gdansk, Poland (ID 9533)
09:30 - 09:30 | Presenting Author(s): Marcin Ostrowski
- Abstract
Background:
According to the World Health Organisation’s report published in 2010, neoplasms, cardiovascular diseases (CVD), diabetes and chronic obstructive pulmonary disease (COPD) are responsible for over 75% of all deaths in the world and they have the same modifiable risk factors - smoking, bad dietary habits, lack of activity and alcohol abuse. Lung cancer screening participants that represent a high risk population of developing a lung cancer constitute the group that exactly matches these criteria, being simultaneously exposed for CVD, diabetes and COPD.
Method:
Between 2009 and 2011, 8649 individuals participated in the Gdańsk Lung Cancer Screening Programme (Poland), where 107 neoplasms (1,24%) were detected. Eligibility criteria included age 50 to 79 and significant, accumulated exposure to smoking (>20 pack-years). Every participant underwent a low-dose computed tomography (LDCT) followed by a standard evaluation protocol and blood sampling for the molecular studies. In order to find the incidence of lung cancer, CVD, diabetes and COPD in the lung cancer screening cohort during a 5-year-long follow-up, the records of all screenees were checked and collected from the Polish National Health Service - the only healthcare provider in the country.
Result:
Out of 8649 patients, after the programme’s termination, 459 (5,3%) new cases of lung cancer were detected in a 5-year-long follow-up. Two thousand seven hundred sixty five (31,9%) patients developed one of the cardiovascular diseases - in 2418 (28%) cases a coronary artery disease and in 309 (3,6%) a stroke were registered, while 38 (0,4%) had an episode of the acute coronary syndrome. One thousand and seven hundred forty (20,1%) patients developed COPD. There were 2104 (24,3%) patients registered with diabetes - 460 (5,3%) had an insulin-dependent and 1644 (19%) non-insulin-dependent type.
Conclusion:
Accumulated lung cancer detection rate in the Polish lung cancer screening programme after a 5-year-long follow-up was 6,5%. Lung cancer screening programme offers a great potential for joint screening of lung cancer, CVD, diabetes and COPD, which enhances a social significance of such an effort.
