2.50
Hdl Handle:
http://hdl.handle.net/10755/165699
Category:
Abstract
Type:
Presentation
Title:
Early Lung Cancer Detection Utilizing Low-Dose Helical CT
Author(s):
McGovern, Bernadette
Author Details:
Bernadette McGovern, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
Abstract:
This year more than 164,000 Americans will be diagnosed with lung cancer. The overall five-year survival rate for these individuals is 14%. Five-year survival for early stage lung cancer is 70%, however, only 20%-25% of individuals are diagnosed at this early stage. Past screening programs, which involved CXR or combination CXR/sputum cytology, did not demonstrate decreased mortality as a result of screening. This cancer prevention and wellness program at this NCI-designated cancer center has been utilizing low dose helical CT to detect early lung cancer in high risk individuals for the past year. All clients schedule a consultation with a nurse practitioner. The NP determines eligibility and appropriateness for screening, assesses cancer risk factors, and makes appropriate referrals to smoking cessation as necessary. A board certified radiologist interprets all low dose CTs that day and conveys findings to the NP. The NP reviews results with each patient and arranges all follow up. Patients with suspicious findings are referred to the pulmonary service for additional evaluation and work up. Those with low suspicion nodules are followed by the NPs and entered into a specific database and recalled for follow up studies as needed. In an effort to further demonstrate the effectiveness of CT screening in the detection of early stage cancers, and ultimately decrease mortality associated with lung cancer, we are participating in a cooperative study. This effort is organized by a non-profit clinical research entity that consists of 11 area institutions. At this institution, the NP will be responsible for patient selection, obtaining informed consent, and following all patients enrolled in the study. In the course of this presentation we will share our preliminary findings, review high-risk eligibility criteria, and our screening protocol. The NPs role as part of a multidisciplinary team in program development, data collection, and quality assurance will be discussed. The nursing experience of participating in multicenter research and a variety of ancillary research opportunities will be explored.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEarly Lung Cancer Detection Utilizing Low-Dose Helical CTen_GB
dc.contributor.authorMcGovern, Bernadetteen_US
dc.author.detailsBernadette McGovern, Memorial Sloan-Kettering Cancer Center, New York, New York, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165699-
dc.description.abstractThis year more than 164,000 Americans will be diagnosed with lung cancer. The overall five-year survival rate for these individuals is 14%. Five-year survival for early stage lung cancer is 70%, however, only 20%-25% of individuals are diagnosed at this early stage. Past screening programs, which involved CXR or combination CXR/sputum cytology, did not demonstrate decreased mortality as a result of screening. This cancer prevention and wellness program at this NCI-designated cancer center has been utilizing low dose helical CT to detect early lung cancer in high risk individuals for the past year. All clients schedule a consultation with a nurse practitioner. The NP determines eligibility and appropriateness for screening, assesses cancer risk factors, and makes appropriate referrals to smoking cessation as necessary. A board certified radiologist interprets all low dose CTs that day and conveys findings to the NP. The NP reviews results with each patient and arranges all follow up. Patients with suspicious findings are referred to the pulmonary service for additional evaluation and work up. Those with low suspicion nodules are followed by the NPs and entered into a specific database and recalled for follow up studies as needed. In an effort to further demonstrate the effectiveness of CT screening in the detection of early stage cancers, and ultimately decrease mortality associated with lung cancer, we are participating in a cooperative study. This effort is organized by a non-profit clinical research entity that consists of 11 area institutions. At this institution, the NP will be responsible for patient selection, obtaining informed consent, and following all patients enrolled in the study. In the course of this presentation we will share our preliminary findings, review high-risk eligibility criteria, and our screening protocol. The NPs role as part of a multidisciplinary team in program development, data collection, and quality assurance will be discussed. The nursing experience of participating in multicenter research and a variety of ancillary research opportunities will be explored.en_GB
dc.date.available2011-10-27T12:23:21Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:23:21Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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