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KMID : 1141720200080010021
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폐쇄성폐질환
2020 Volume.8 No. 1 p.21 ~ p.26
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How Can the Lung Cancer Screening Program Be Applied in COPD?
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Jang Seung-Hun
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Abstract
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The Korean National Lung Cancer Screening Program taking LDCT every two years was launched for populations having high risk of lung cancer development (54∼74 years old and more than 30 pack-year current smokers). Appropriate selection of screening target is the most important for successful screening outcomes. To date, the objective criteria to select screening subjects are not available other than age and smoking history. But, in the future, if a Korean lung cancer risk model incorporating all risk factors (such as sex, body mass index, education level, physical activity, COPD, interstitial lung disease, pneumoconiosis, diabetes mellitus, family history of lung cancer, environmental and occupational risk) for lung cancer will be successfully developed, and if the risk factors database recorded in the newly revised medical examination questionnaire will be successfully established, screening subjects will be selected based on the model, which will result in improvement of screening efficiency, and adequate adjustment of screening interval.
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KEYWORD
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Lung cancer, Screening, COPD
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