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Surveillance of chronic obstructive pulmonary disease in high-risk individuals by using regional lung cancer mass screening
- Source :
- International Journal of COPD, Vol 2014, Iss default, Pp 647-656 (2014)
- Publication Year :
- 2014
- Publisher :
- Dove Medical Press, 2014.
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Abstract
- Yasuo Sekine, Ryoko Yanagibori, Kiminori Suzuki, Sonomi Sugiyama, Haruko Yamaji, Michiko Ishibashi, Takehiko Fujisawa Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan Background and objective: Patients with chronic obstructive pulmonary disease (COPD) are at risk for lung cancer; the diseases have common etiologies, including cigarette smoking. We aimed to clarify the effectiveness of COPD detection using a regional mass-screening program for lung cancer. Materials and methods: A total of 7,067 residents of Togane, Chiba, Japan received lung cancer screening between May and July, 2011. We defined four groups of possible COPD candidates: group A (n=358), positive smoking history, positive chronic respiratory symptoms; group B (n=766), positive smoking history, positive lifestyle-related disease; group C (n=75), passive smoking history, positive chronic respiratory symptoms; and group D (n=301), passive smoking history, positive lifestyle-related disease. Candidates underwent on-site pulmonary function testing (PFT). Results: The criteria for COPD candidates were fulfilled in 1,686 of 7,067 individuals (23.9%); 1,500 participants underwent PFT (89%), and 171 (11.4%) were diagnosed with COPD. The overall COPD detection rate was 2.4%. The frequency of COPD was significantly higher in groups A and B than in groups C and D (P=0.048); however, the distribution of COPD grades was similar among the groups (P=0.372). Multiple logistic regression analysis identified male sex, age 60 years or greater, and positive smoking history as risk factors for COPD. Conclusion: COPD screening using a community-based lung cancer-screening program may be effective for disease detection. Individuals who are 60 years of age or older with a positive smoking history should undergo PFT to detect COPD. Keywords: chronic obstructive pulmonary disease, lung neoplasms, mass screening, respiratory function tests
- Subjects :
- Diseases of the respiratory system
RC705-779
Subjects
Details
- Language :
- English
- ISSN :
- 11782005 and 80495230
- Volume :
- 2014
- Issue :
- default
- Database :
- Directory of Open Access Journals
- Journal :
- International Journal of COPD
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.708245f036245ff80495230126ad3a7
- Document Type :
- article