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  • Andersson, ElisabethSkåne University Hospital,Skane Univ Hosp, Sweden (författare)

Surveillance of indeterminate pulmonary nodules detected with CT in a Swedish population-based study (SCAPIS) : Psychosocial consequences and impact on health-related quality of life - A multicentre prospective cross-sectional study

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-09-17
  • BMJ Publishing Group Ltd,2021
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-187995
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-187995URI
  • https://doi.org/10.1136/bmjopen-2021-048721DOI
  • https://lup.lub.lu.se/record/34c5db22-0d92-42f5-9309-e0d57482436fURI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-179815URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Allmanna Sjukhusets i Malmo stiftelse for bekampande av cancer; Swedbank AB; Department of Medical Imaging and Physiology Skane University Hospital in Malmo; Skane University Hospital
  • Objectives: To investigate whether surveillance of pulmonary nodules detected with low-dose CT (LDCT) impacted health-related quality of life and psychosocial consequences in the Swedish population-based study, Swedish CArdioPulmonary bioImage Study (SCAPIS).Design: A prospective cross-sectional study.Settings and participants: This multicentre (five sites) observational study, which included a cohort from SCAPIS, consisted of 632 participants with indeterminate pulmonary nodules detected with LDCT. These participants continued surveillance for up to 36 months, during which lung cancer was not detected (surveillance group). Additionally, 972 participants with a negative pulmonary LDCT scan were included as a control group. Matching criteria were LDCT date (±2 weeks), gender and site.Outcome measures: All participants completed a health-related quality of life questionnaire (RAND-36) and the Consequences of Screening (COS) questionnaire, an average of 3 years after LDCT was conducted at entry into SCAPIS.Results: Participants were 51-70 years old at study commencement. Overall, the two groups did not differ in demographic or psychosocial variables, smoking habits or pulmonary medical history. Individuals from countries other than Sweden and those with low socioeconomic status were less likely to participate (p<0.001). No effects on health-related quality of life were observed via RAND-36. In COS, the surveillance group demonstrated a higher OR for anxiety about lung cancer (OR 3.96, 95% CI 2.35 to 6.66, p<0.001), experiencing a sense of dejection (OR 1.35, 95% CI 1.06 to 1.72, p=0.015) and thoughts about existential values (OR 1.30, 95% CI 1.04 to 1.60, p=0.018).Conclusions: Lung surveillance with LDCT contributed to significant experiences of sense of dejection, anxiety about lung cancer and development of thoughts about existential values among participants in the surveillance group compared with the controls. The risk of side effects should be communicated for informed decision-making about (non-)attendance in lung cancer screening.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Dai Ydrefelt, YingSkåne University Hospital,Skane Univ Hosp, Sweden (författare)
  • Johannesson, MaritSahlgrenska University Hospital,Sahlgrens Univ Hosp, Sweden (författare)
  • Lundbäck, MariaUmeå University,Umeå universitet,Diagnostisk radiologi,Umea Univ, Sweden (författare)
  • Mannila, MariaKarolinska University Hospital,Karolinska Univ Hosp, Sweden (författare)
  • Persson, MargarethaLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital,Lund Univ, Sweden(Swepub:lu)medf-mpe (författare)
  • Swahn, EvaLinköpings universitet,Linköping University,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)evasw45 (författare)
  • Bolejko, AnettaLund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Diagnostisk radiologi, Malmö,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Care in high technological environments,Lund University Research Groups,Radiology Diagnostics, Malmö,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital,Skane Univ Hosp, Sweden; Lund Univ, Sweden(Swepub:lu)med-abj (författare)
  • Skåne University HospitalSkane Univ Hosp, Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMJ Open: BMJ Publishing Group Ltd11:92044-6055

Internetlänk

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  • BMJ Open (Sök värdpublikationen i LIBRIS)

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