慢阻肺月报202205(上)
JAMA. 2022 May 10; 327 (18) : 1812-1816. PMID:35536261
Screening for Chronic Obstructive Pulmonary Disease: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.
Elizabeth M Webber, Jennifer S Lin, Rachel G Thomas
该不该实施某项疾病预防策略?事实说话。会不会时过境迁?重审数据,再决策。
慢阻肺筛查关注的焦点在于筛出来的患者准备怎么办?就目前的治疗手段,在轻度气流受限患者(构成筛查对象即“40岁及以上没有意识到或报告症状的成人”的主要部分)获益细微,治疗相关不良反应不是没有。当然,这是将筛查对象作为一个群体来考虑。
JAMA. 2022 May 10; 327 (18) : 1806-1811. PMID:35536260
Screening for Chronic Obstructive Pulmonary Disease: US Preventive Services Task Force Reaffirmation Recommendation Statement.
Carol M Mangione, Michael J Barry, Wanda K Nicholson, et al
第6大死因,筛查“没有净效益”就可以不管了吗?仔细看,不是的,控烟普适于每个个体,无论他/她是不是接受慢阻肺筛查。
European Respiratory Journal. 2022 Mar 24; PMID:35332067
Derivation and Validation of the UCAP-Q Case-finding Questionnaire to Detect Undiagnosed Asthma and COPD.
Chau Huynh, G A Whitmore, Katherine L Vandemheen, et al
在治疗价值明确的疾病人群中优化早期诊断手段,也就是说治疗获益大于风险的患者须尽早予以诊断、减少漏诊。Case-finding questionnaire已习惯性翻译成“筛查问卷”,但本文“筛查”的目标人群显然不同于USPSTF推荐意见中“无症状”人群的screening,可见一项措施只有明确界定了其施用对象,才能发挥其预期效能。
Chest. 2022 Apr 22; PMID: 35469854
The Contribution of Anthropometry and Socioeconomic Status to Racial Differences in Measures of Lung Function: A Systematic Review.
Rachel Holland, Cole Bowerman, Sanja Stanojevic
预计值公式真是个难题
European Respiratory Journal. 2022 Apr 29;PMID: 35487537
Early-life respiratory tract infections and the risk of school-age lower lung function and asthma: a meta-analysis of 150000 European children.
Evelien R van Meel, Sara M Mensink-Bout, Herman T den Dekker, et al
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