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- Title
Implementation of an Integrated Lung Cancer Prevention and Screening Program Using a Mobile Computed Tomography (CT) Unit in Brazil.
- Authors
Chiarantano, Rodrigo Sampaio; Vazquez, Fabiana Lima; Franco, Alexander; Ferreira, Larissa Cristina; Cristina da Costa, Maraísa; Talarico, Thais; Oliveira, Ângela Neves; Miziara, José Elias; Mauad, Edmundo Carvalho; Caetano da Silva, Eduardo; Ventura, Luis Marcelo; Junior, Raphael Haikel; Leal, Letícia Ferro; Reis, Rui Manuel
- Abstract
<bold>Introduction: </bold>Lung cancer is the deadliest cancer worldwide and in Brazil. Despite strong evidence, lung cancer screening by low-dose computed tomography (LDCT) in high-risk individuals is far from a reality in many countries, particularly in Brazil. Brazil has a universal public health system marked with important inequalities. One affordable strategy to increase the coverage of resources is to use mobile units.<bold>Objectives: </bold>To describe the implementation and results of an innovative lung cancer prevention program that integrates tobacco cessation and lung cancer screening using a mobile CT unit.<bold>Methodology: </bold>From May 2019 to Dec 2020, health professionals from 18 public primary health care units in Barretos, Brazil, were trained to offer smoking cessation counseling and treatment. Eligible high-risk participants of this program were also invited to perform lung cancer screening in a mobile LDCT unit that was specially conceived to be dispatched to the community. A detailed epidemiological questionnaire was administered to the LDCT participants.<bold>Results: </bold>Among the 233 screened participants, the majority were women (54.9%), and the average age was 62 years old. A total of 52.8% of participants showed high or very high nicotine dependence. After 1 year, 27.8% of participants who were involved in smoking cessation groups had quit smoking. The first LDCT round revealed that the majority of participants (83.7%) exhibited lung-Rads 1 or 2; 7.3% exhibited lung-Rads 3; 7.7% exhibited lung-Rads 4a; and 3% exhibited lung-Rads 4b or 4x. The three participants with lung-Rads 4b were further confirmed, and their surgery led to the diagnosis of early-stage cancer (1 case of adenocarcinoma and two cases of squamous cell carcinoma), leading to a cancer diagnosis rate of 12.8/1000.<bold>Conclusion: </bold>Our results indicate promising outcomes for an onsite integrative program enrolling high-risk individuals in a middle-income country. Evidence barriers and challenges remain to be overcome.
- Publication
Cancer Control: Journal of the Moffitt Cancer Center, 2022, Vol 29, p1
- ISSN
1073-2748
- Publication type
journal article
- DOI
10.1177/10732748221121385