Background In this study, we aimed to determine the performance of the lung cancer screening (LCS) program using low-dose computed tomography (LDCT) in a rural community. Methodology We conducted a retrospective cohort study of patients who underwent LCS at a rural healthcare institution from September 1, 2016, through December 31, 2019, to determine the utilization of screening, rate of positivity, rate of cancer detection, and patient compliance. Results A total of 1,474 patients underwent initial LCS, and 1,776 LCS examinations were performed using LDCT. Of 1,776 tests performed, 375 (21.1%) were categorized as positive (Lung CT Screening Reporting and Data System III or higher), with 215 of the 375 (57.6%) being lost to follow-up. A total of 29 malignancies were identified (in 1.6% of all LCS tests) during the study period, with 23 (82.8%) malignancies being low-stage malignancies (stage I or II), 24 (79.3%) malignancies potentially surgical candidates (stage IIIA or less), and five (17.2%) malignancies being non-surgical candidates based on stage (stage IIIB or IV). A total of 28.7% of all patients eligible for repeat screening had at least one repeat annual test. Overall, 9.9% of all patients eligible for two repeat annual tests had a second repeat annual test. Conclusions LCS using LDCT is effective in detecting lung cancer in a rural setting. However, compliance with repeat annual screening and recommendations for further workup is low. This may be exacerbated by healthcare and socioeconomic issues prevalent in rural communities. The use of LCS patient coordinators and dedicated tracking software may improve compliance with repeat annual screening and compliance with recommendations when LCS tests are positive.
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http://dx.doi.org/10.7759/cureus.23299 | DOI Listing |
Clin Transplant
January 2025
Department of Surgery, NYU Langone, New York, New York, USA.
Introduction: Some living organ donors will decide to donate again at a later date. Evidence has indicated that this practice may have increased in recent years. We evaluated the incidence and outcomes of this practice to inform counseling of potential repeat donors.
View Article and Find Full Text PDFJ Urol
December 2024
Department of Urology, School of Medicine, Stanford University, Stanford, CA 94305, United States.
Purpose: To characterize trends in vasectomy utilization, delivery, and failure in a large administrative database.
Materials And Methods: We utilized the Merative MarketScan® (2007-2021) Commercial Database to identify vasectomized men. Vasectomy failure (VF) was defined as documented pregnancy ≥6 months post-procedure.
Sci Data
December 2024
Graduate School of Environmental Studies, Nagoya University, Furo-cho, Chikusa-ku, Nagoya, 464-8601, Japan.
Northern elephant seals (Mirounga angustirostris) have been integral to the development and progress of biologging technology and movement data analysis, which continue to improve our understanding of this and other species. Adult female elephant seals at Año Nuevo Reserve and other colonies along the west coast of North America were tracked annually from 2004 to 2020, resulting in a total of 653 instrument deployments. This paper outlines the compilation and curation process of these high-resolution diving and location data, now accessible in two Dryad repositories.
View Article and Find Full Text PDFJ Am Vet Med Assoc
December 2024
1Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA.
Objective: To compare head-started and free-ranging eastern box turtle (Terrapene carolina) blood analytes to evaluate head-starting practices and venipuncture site suitability.
Methods: Eastern box turtles were head-started by Jekyll Island State Park Authority's Georgia Sea Turtle Center. Free-ranging resident box turtles on Jekyll Island State Park were captured.
Int J Mol Sci
December 2024
Key Laboratory of Rice Germplasm Innovation and Molecular Improvement of Anhui Province, Rice Research Institute, Anhui Academy of Agricultural Sciences, Hefei 230031, China.
Rice ( L.) feeds half the world's population and serves as one of the most vital staple food crops globally. The brown planthopper (BPH, Stål), a major piercing-sucking herbivore specific to rice, accounts for large yield losses annually in rice-growing areas.
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