Doctors attitude and behaviour towards screening smokers for lung cancer



Doctors passive Actions in Screening smokers For Lung Cancer

 Many family physicians don’t believe lung cancer screening can reduce deaths from these tumors, and some don’t offer tests even to longtime smokers,  according to a rent report on a U.S. survey. Nearly all agreed that early cancer detection is more likely with low-dose computed tomography (CT) than with traditional x-rays.

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-only 41 percent of family doctors believe low-dose CT scans in asymptomatic individuals can reduce deaths from lung cancer, the survey found.
Even for a 60-year-old patient with a long history of smoking, 12% of family physicians said they would not recommend any screening and another 9% said they would suggest only an x-ray. This was according to study author Jan Eberth,  colleagues  in the journal Cancer.
they further noted that the American Academy of Family Physicians has said there isn’t enough evidence yet to recommend or discourage these tests.

88% of doctors were more concerned about unnecessary diagnostic procedures, and about half said they worried about exposing patients to stress and anxiety or radiation even with low-dose CT scans.

contrary to recommendations by groups like SPSTF and Medicare, about half would screen a 70-year-old former smoker who quit more than 20 years ago or even  a 50-year-old nonsmoker with 30 years married to a smoker. 22% of family physicians said they would offer screening !
 other medical practitioners that were not involved in the study have commented  this may like be due to Primary care physicians may be overwhelmed with the amount of new information required to understand the data regarding lung cancer screening, potential benefits, and with discussing risks.
other doctors see Chest x-rays for screening is as a failed strategy.


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