Scholarlink

Background <p>The CCM-ITALUNG2 pilot was implemented to evaluate the feasibility of an organized lung cancer (LC) screening programme in five Italian centres.</p> Methods <p>The screening pathway included invitation, recruitment, referral to Smoking Cessation Services (SCSs), and use of the Lung-RADS score for low-dose CT reading. Dedicated screening operators followed up participants from recruitment through the clinical follow-up established by multidisciplinary teams. Eligibility criteria included age 55–75&#xa0;years, ever-smokers with ≥ 25 pack-years; quit within the past 10 years. Baseline round results are presented.</p> Results <p>From November 2022 to May 2024, 1,144 of the 1,971 invited individuals (58.0%) were recruited following different strategies including in-person invitation by general practitioners (GPs; 356 subjects, 31.9%) or other healthcare personnel (18.1%), self-presentation (36.3%), and phone invitation using GPs’ patient lists (13.7%). Among current smokers, 38.5% accepted referral to SCSs. Eighteen subjects (77.8% in stage I–II) were diagnosed with LC (prevalent LC rate 1.57%). The mean time to surgery was 147&#xa0;days (standard deviation 73); the false-positive rate was 1.38% (15/1,085).</p> Conclusions <p>By utilizing different organizational models, the pilot was tailored to the specific characteristics of each centre. Phone invitations from GPs’ patient lists, in-person invitations by GPs and other healthcare personnel, and self-presentation might enhance equity of access in comparison with self-referral only. Dedicated screening operators, the use of the Lung-RADS scoring system, and a structured clinical follow-up supported participants throughout the screening pathway. Delivering brief advice for smoking cessation during recruitment and offering SCS referral were feasible within the screening pathway.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

CCM-ITALUNG2 pilot on lung cancer screening in Italy: recruitment, integration with smoking cessation and baseline results

  • 期刊论文

  • 发表日期：

    2025年10月4日

查看全文
  • Giuseppe Gorini,
  • Donella Puliti,
  • Giulia Picozzi,
  • Jasmine Giovannoli,
  • Giulia Veronesi,
  • Francesco Pistelli,
  • Carlo Senore,
  • Carlo Tessa,
  • Edoardo Cavigli,
  • Simonetta Bisanzi,
  • Elisa Dieci,
  • Piergiorgio Muriana,
  • Annalisa Deliperi,
  • Emanuela Romano,
  • Cristiano Piccinelli,
  • Paola Vivani,
  • Eugenio Paci,
  • Laura Carrozzi,
  • Mario Mascalchi,
  • Enrica Stancanelli,
  • Marika Furuya,
  • Guglielmo Bonaccorsi,
  • Giuseppe Cavallo,
  • Giulia Carreras,
  • Cristina Sani,
  • Jessica Viti,
  • Carmen Visioli,
  • Giovanna Masala,
  • Paola Mantellini,
  • Diletta Cozzi,
  • Katia Ferrari,
  • Amedeo Vannacci,
  • Serena Checcacci,
  • Olga Smorchkova,
  • Luca Gozzi,
  • Alessandra Bindi,
  • Chiara Moroni,
  • Silvia Luvarà,
  • Vittorio Miele,
  • Maurizio Bartolucci,
  • Ilaria Orlandi,
  • Chiara Cruschelli,
  • Chiara Romei,
  • Zeno Falaschi,
  • Valentina Bessi,
  • Stefano Paoli,
  • Elisabetta Casto,
  • Giulia Marchi,
  • Giacomo Guglielmi,
  • Beatrice Vivaldi,
  • Natascia Coltelli,
  • Guido Marchi,
  • Lucia Lupetti,
  • Michela Zanetti,
  • Ilaria Stellati,
  • Maila Coltelli,
  • Simona De Santis,
  • Stefano Viscardi,
  • Domenico Ghio,
  • Paolo Fonio,
  • Riccardo Faletti,
  • Andrea Di Chio,
  • Tiziana Vavalà,
  • Roberto Albera,
  • Silvia Novello,
  • Paola Gollini,
  • Sandra Anglesio,
  • Fabio Beatrice,
  • Pavilio Piccioni,
  • Cristina Fanini,
  • Guido Guidoni,
  • Valentina Galli,
  • Patrizia Gai,
  • Antonella Manfredi,
  • Anna Di Natale,
  • Marzio Taddei,
  • Laura Fallani,
  • Michela Fioriti,
  • Michele Di Francesco,
  • Alessandro Guerrini,
  • Niccolò Biancalani,
  • Barbara Calistri,
  • Lara Romagnani,
  • Luca Puccetti,
  • Gianluca Sassi,
  • Marco Araldi,
  • Pier Riccardo Rossi,
  • Sabina Bianchi,
  • Annalisa Cannatelli,
  • Paolo Cataldi,
  • Roberto Cernigliaro,
  • Francesca D’Agostino,
  • Cristina De Ambrogio,
  • Francesca Di Valente,
  • Giulia Durando,
  • Alessandra Fracchia,
  • Eleonora Giraudi,
  • Patrizia Guerra,
  • Massimo Massi,
  • Laura Mondino,
  • Cristina Nolli,
  • Chiara Pugni,
  • Enrica Zucchetti,
  • Stefano Diciotti

摘要

Background

The CCM-ITALUNG2 pilot was implemented to evaluate the feasibility of an organized lung cancer (LC) screening programme in five Italian centres.

Methods

The screening pathway included invitation, recruitment, referral to Smoking Cessation Services (SCSs), and use of the Lung-RADS score for low-dose CT reading. Dedicated screening operators followed up participants from recruitment through the clinical follow-up established by multidisciplinary teams. Eligibility criteria included age 55–75 years, ever-smokers with ≥ 25 pack-years; quit within the past 10 years. Baseline round results are presented.

Results

From November 2022 to May 2024, 1,144 of the 1,971 invited individuals (58.0%) were recruited following different strategies including in-person invitation by general practitioners (GPs; 356 subjects, 31.9%) or other healthcare personnel (18.1%), self-presentation (36.3%), and phone invitation using GPs’ patient lists (13.7%). Among current smokers, 38.5% accepted referral to SCSs. Eighteen subjects (77.8% in stage I–II) were diagnosed with LC (prevalent LC rate 1.57%). The mean time to surgery was 147 days (standard deviation 73); the false-positive rate was 1.38% (15/1,085).

Conclusions

By utilizing different organizational models, the pilot was tailored to the specific characteristics of each centre. Phone invitations from GPs’ patient lists, in-person invitations by GPs and other healthcare personnel, and self-presentation might enhance equity of access in comparison with self-referral only. Dedicated screening operators, the use of the Lung-RADS scoring system, and a structured clinical follow-up supported participants throughout the screening pathway. Delivering brief advice for smoking cessation during recruitment and offering SCS referral were feasible within the screening pathway.