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Vol.52 No.6 contents | Japanese/English |
 | Full Text of PDF (1211K) Article in Japanese |
- The 25th Lung Cancer Mass Screening Seminar -
Is a Close Cooperation with the Medical Facilities in Charge of Detailed Examinations Attempted?
Yoshinori Kibe1, Chika Uotani1, Masaji Tabata1, Kazuhiro Ikeda1, Tetsuo Matsunaga11Ishikawa Health Service Association, Japan
Objectives and Methods. For people requiring detailed examinations after something has been found during screening, a close cooperation between the facilities performing the screenings and those in charge of the detailed examinations is very important in regard to appropriate management. In our society, we perform a detailed follow-up of people requiring detailed examinations. In the 2-year period from April 2007 to March 2009, we conducted follow-up studies on 1,911 subjects who underwent chest examinations at our society and were assessed as "E (Diagnostic classification of chest X-ray, suggestive lung cancer, based on General Rule for Clinical and Pathological Record of Lung Cancer, 2010, The Japanese Lung Cancer Society)" based on the chest X-ray examination and given detected examination at medical facilities. We examined the number of follow-ups and the duration of the follow-ups at those medical facilities, and respective reasons for discontinuations in the those cases. Results. A definitive diagnosis was given in 1,411 out of 1,487 cases (94.9%) in the reports from the medical facilities performing the detailed examinations. For 1,323 (89.0%) of these cases the diagnosis was made within a month. Among the 164 cases who were followed for more than 2 months, the follow-up period for 120 cases was within 1 year. The follow-up was discontinued in 28 cases. The most frequent reason for discontinuing the follow-up was personal request in 20 cases. In 5 cases, the medical facilities performing the detailed examinations did not report the outcome. The diagnosis for the individual who were loss for follow-up were "indeterminate" in 25 cases, "suspicion of lung cancer" in 2 cases. In 1 case follow-up was discontinued even though a diagnosis had been established. Conclusion. These results suggested that a close cooperation between screening facilities and the facilities in charge of the detailed examinations is very important regarding the appropriate management of screenings.
key words: Lung cancer screening, Appropriate management, Follow-up investigations
JJLC 52 (6): 930-937, 2012
