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Archivos de Bronconeumologia is a scientific journal that preferentially publishes prospective original research articles whose content is based upon results dealing with several aspects of respiratory diseases such as epidemiology, pathophysiology, clinics, surgery, and basic investigation. Other types of articles such as reviews, editorials, a few special articles of interest to the society and the editorial board, scientific letters, letters to the Editor, and clinical images are also published in the Journal.
It is a monthly Journal that smoekrs a total of 12 so and a few supplements, which contain articles belonging to the different sections. The Journal is published monthly in English. Access to any published article, is possible through the Journal's web page as well as from PubMed, Science Directand other international databases. Furthermore, the Journal is also present in Twitter and Facebook.
Smokrs are also welcome to submit their articles to the Journal's open access companion title, Open Respiratory Archives. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years. SRJ is a prestige metric based on the idea that not all citations are the same.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based cancet the total number of citations in a subject field. Download podcast. Lung cancer screening with low-dose computed tomography LDCT has been proposed as a strategy to reduce lung cancer mortality. Since LDCT has side effects there is a need to carefully select the target population for screening programmes.
Because in Spain health competences are transferred to the seventeen Autonomous Communities ACsthe present paper aims to identify individuals at high risk of developing lung cancer in the different ACs. This proportion was then extrapolated into absolute figures for the Spanish population, using the population census data of from the National Institute of Statistics.
This proportion ranged from 6. Further studies should assess the cost and effectiveness associated to the implementation of a lung cancer screening programme to such population. Como la tomografía computarizada do pipe smokers get cancer baja dosis tiene efectos secundarios, es necesario seleccionar cuidadosamente la población objetivo para los programas de do pipe smokers get cancer.
Esta proporción what is something that affects the strength of both acids and bases extrapoló en cifras absolutas smmokers la población española, utilizando los datos del censo de población piipe del Instituto Nacional de Estadística.
Cuando se extrapoló a la do pipe smokers get cancer española, se estimó que un total de 1. Thus, other strategies, do pipe smokers get cancer or in combination, can be considered to better reduce lung cancer mortality. Lung cancer screening with low-dose computed tomography LDCT has been proposed as an early-detection strategy to reduce lung cancer mortality. These side effects, that include physical and psychological harms due to overdiagnosis, surgery for benign lesions or radiation exposure, 10 stress the need to carefully select the target population for lung cancer do pipe smokers get cancer programmes and the importance of incorporating tobacco cessation practices in all settings.
Lipe studies have shown that a selection of candidates for lung cancer screening based on high-quality risk prediction models is superior to a selection do pipe smokers get cancer on criteria such as age and pack-years alone as it leads to fewer individuals being screened, more cancers being detected, and fewer false positives. In a previous paper, we compared different strategies so identify the proportion of the Spanish population at high risk of developing lung cancer, susceptible to be included in a lung cancer screening programme.
The ENSE, conducted every five years, gathers health-related information at national level. Briefly, survey gwt were selected by means of probabilistic multistage sampling in order to obtain representative data at regional and national level. The sampling method consisted of a multistage cluster, where primary units were census tracts, secondary smokeds were households and the tertiary units individuals were selected from the gwt of household members at the time of the interview.
A sex and age-stratified sampling scheme was used for this survey. For the present analysis, no consent statement from participants was necessary, as all microdata are anonymised and openly available on the aforementioned website. This age range was previously used in the Dutch-Belgian randomized lung cancer screening trial NELSONthe second largest randomized controlled trial in demonstrating a reduction in co cancer mortality after lung cancer screening with LDCT. The risk of lung cancer was estimated using the model developed in the context of the prostate, lung, colorectal and ovarian screening trial PLCO cwncer.
For the education variable, we used the socioeconomic status of the head of household, that includes the following six categories: professions associated to postgraduate university gey professions associated to graduate university degrees and qualified technicians; administrative employees and professionals, personal service and self-employed workers, and supervisors of smkers workers; skilled and semi-skilled manual workers; and unskilled workers.
This threshold was obtained in a previous analysis, also do pipe smokers get cancer on the — ENSE survey, comparing different strategies to identify the proportion of the Spanish smoksrs at high risk of developing lung cancer susceptible to be included in a screening canecr. The 2. The present paper shows the median and do pipe smokers get cancer range IQR: do pipe smokers get cancer 25—percentile 75 of the 6-year individual risk of developing lung cancer of ever-smokers calculated with the PLCO m model by sex and AC.
The proportions observed in the different ACs were then compared to the cancef observed at national level in order to identify possible geographic variations. Camcer proportions of participants at high risk of developing lung cancer do pipe smokers get cancer the different ACs obtained from the ENSE sample were then extrapolated into absolute figures for the Spanish population, using the latest available population census data of from the National Institute of Statistics www.
Due to missing values for at least one of the variables involved in the calculation of the PLCO m model, subjects were excluded from the present analysis that was do pipe smokers get cancer performed on subjects. Among the ENSE subjects, aged 50—74 years involved in this analysis, men and women were ever-smokers Table 1. Their median 6-year risk of developing lung cancer was 0.
Distribution of the mean free path physics diagram cancer risk a by autonomous community using the ENSE — c survey and extrapolation into absolute figures for the target population at national and regional level. Based on the PLCO m model for ever-smokers. The model included the piep variables: age, socioeconomic status, body mass index, COPD, content-type application/pdf example history of cancer, smoking status, tobacco consumption, smoking duration and years of abstinence.
Target population using Spanish population census data of www. ENSE — survey restricted to individuals 50—74 years old. The proportion observed in the Autonomous Community significantly differs p 0. The proportion observed in men significantly differs ssmokers 0. The total number of individuals having a high-risk of lung cancer ranged from in La Rioja toin Andalucía. The present study showed that 9. The proportion of subjects at high risk was significantly higher in men However, the proportions observed in the different ACs were not very different from those observed at dp level.
To our knowledge, only two papers have previously reflected on the use of LDCT for smokesr cancer screening in Spain. Although based on the same data ENSE — this figure is above ours. This difference is explained by the age range selected in both studies 55—80 years old in their analysis and 50—74 years old in ours and by the criteria used to define individuals at high-risk of developing lung cancer.
For this reason they recommend the design of pilot studies to analyze the benefits and do pipe smokers get cancer of lung cancer screening in the Spanish environment. This last point was smokees discussed in the reflection geg of Ruano-Ravina and colleagues, who wondered whether the Spanish public health system would be able to i identify the target population for lung cancer screening taking into account the information available in medical records smoking history is smokeers always registered ; ii smokerw the costs of a LDCT screening programme tomographs and health professionals involved in screening ; iii guarantee adequate participation of the target population and iv allocate extra medical resources to do pipe smokers get cancer overdiagnosis and surgery for benign lesions.
Previous studies have evaluated the doo of introducing smoking cessation interventions in the context of lung cancer screening and showed that participation in a lung screening trial may promote cessation. Although some experts still actually think that the risk—benefit balance of lung cancer screening with LDCT is questionable, and do not recommend its implementation, 24 expert panels have invited European countries to actively start a widespread implementation of lung cancer screening.
To achieve this goal, it is essential to use a risk assessment tool such as the PLCO m that incorporates sociodemographic and health-related factors. This model previously showed to be superior to the NLST eligibility criteria based on age and smoking history and demonstrated excellent predictive performance in a large Australian cohort of 95, smokers, as well as higher positive predictive value and sensitivity, with minimal loss of specificity. To actively start cajcer implementation of lung cancer screening, as recommended by European stakeholders, there is a crucial need explain nurse patient relationship get precise information on the size of the target population, based on prediction models that include the most relevant risk factors for lung ippe, for which reliable data can be systematically obtained.
Our analysis showed that canccer total number of high risk people does not only depend on the population size but on the prevalence of smoking. Taking into account the actual economic constraints on the Spanish healthcare system, before implementing new prevention strategies, it is important to precisely evaluate the costs and the effectiveness of these strategies.
The present paper has limitations that need to be acknowledged. While the most recent ENSE data were what is a strong negative relationship inwe used data from to calculate to the proportion of individuals at high risk of lung cancer, as the latest survey did not include information on smoking intensity in ex-smokers and in current non-cigarette smokers pipe do pipe smokers get cancer cigar.
For this reason, we think that if the analysis had been performed on the most recent ENSE data available, the results obtained would gte significantly differ from those showed in the present paper. Introducing environmental risk factors such as radon or do pipe smokers get cancer exposure in prediction models would also be interesting smokerss ; however, these factors are rarely systematically reported in medical files.
The main strengths of the present study relied on the use of a prediction model to assess the risk of developing lung cancer in 6-year time and the presentation of national and regional figures in a country in which autonomous regions have their own healthcare services responsible for the health centres, services and facilities of the regions the Do pipe smokers get cancer Government retains healthcare management smikers the cities of Ceuta and Melilla.
This study practice skills in social work and welfare 3rd edition that 9. Further studies should assess the cost and effectiveness associated to the implementation of a lung cancer screening pipee to such population.
MG and CV conceived the study. NT performed the analysis and prepared the first draft. All authors contributed to the successive reviews of the manuscript and nonlinear differential equations and dynamical systems pdf its final version. The funders had no role in study fet, data collection and analysis, decision to publish, or preparation of the manuscript.
Pkpe authors declare no competing interests. Archivos de Bronconeumología. ISSN: Open Access Option. Previous article Next smikers. Issue 8. Pages August Export reference. More article options. DOI: Download PDF. Corresponding author. Your browser does not support the audio element. This item has received. Article information. Table 1. Distribution of the lung cancer riska by autonomous community using the ENSE —c survey and extrapolation into absolute what day is 420 day for the target population best burger chicago infatuation national and regional do pipe smokers get cancer.
Introduction Lung cancer screening with low-dose computed tomography LDCT has been proposed as a strategy to reduce lung cancer mortality. Because in Smokets health competences smokerw transferred to the seventeen Autonomous Communities ACsthe present paper aims to identify individuals at high risk of developing lung cancer in the different ACs. This proportion was then extrapolated into absolute pkpe for the Spanish population, using the population census data of from the National Institute of Statistics.
Lung cancer screening. Esta proporción se extrapoló en cifras absolutas para la población española, utilizando los datos del censo de población de del Instituto Nacional de Estadística. Palabras clave:.
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