Care Burden Derived from the Introduction of an Early Lung Cancer Screening Program in High-Risk HIV-Infected Patients

J Int Assoc Provid AIDS Care. 2019 Jan-Dec:18:2325958219839077. doi: 10.1177/2325958219839077.

Abstract

We describe the care burden derived from a lung cancer screening program in high-risk patients with HIV. In a well-selected group with the described criteria, one annual low-dose thoracic computed tomographic exploration can be applied to 7.2% of the patients attended (95% confidence interval: 4.2-9.6), with at least one follow-up exploration in another 1.3%, with the generation of at least 2 extra visits for explanation of the protocol and results. If smoking habit does not change over the next 2 years, another 4.3% of the patients will have met the inclusion criteria. Early detection of lung cancer with low-dose thoracic computed tomographic could be of interest in HIV-infected patients because of the increased of risk but would imply an increase in care burden that must be taken into account.

Keywords: lung cancer; screening.

MeSH terms

  • Adult
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / statistics & numerical data*
  • Female
  • HIV Infections / complications*
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / virology
  • Male
  • Middle Aged
  • Risk Factors
  • Smokers / statistics & numerical data
  • Smoking
  • Tomography, X-Ray Computed