Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece
Kyriakos Souliotis,1,2 Christina Golna,2 Pavlos Golnas2 1Department of Social and Education Policy, University of Peloponnese, Corinth, Greece; 2The Health Policy Institute, Maroussi, GreeceCorrespondence: Kyriakos Souliotis, Email ksouliotis@uop.grAbstract: Early diagnosis of lung cancer in pulmona...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-02-01
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| Series: | Risk Management and Healthcare Policy |
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| Online Access: | https://www.dovepress.com/establishing-a-pulmonary-nodule-clinic-service-for-early-diagnosis-of--peer-reviewed-fulltext-article-RMHP |
| _version_ | 1811169555779682304 |
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| author | Souliotis K Golna C Golnas P |
| author_facet | Souliotis K Golna C Golnas P |
| author_sort | Souliotis K |
| collection | DOAJ |
| description | Kyriakos Souliotis,1,2 Christina Golna,2 Pavlos Golnas2 1Department of Social and Education Policy, University of Peloponnese, Corinth, Greece; 2The Health Policy Institute, Maroussi, GreeceCorrespondence: Kyriakos Souliotis, Email ksouliotis@uop.grAbstract: Early diagnosis of lung cancer in pulmonary nodules identified by computed tomography (CT) may be critical in reducing the epidemiological burden of the disease, particularly in countries where such a burden is considerably high and risk factors for lung cancer very prevalent. The establishment and operation of pulmonary nodule clinics (PNCs), ie, multidisciplinary services that watch and evaluate nodules found through deliberate screening efforts or as incidental findings, is increasingly becoming a key tool to implement such early-intervention, cancer-risk management policies elsewhere in the world. This review aims to research and present in a structured manner findings from published sources on options and considerations for setting up a PNC in a country such as Greece. These refer to the type of services a PNC would provide to optimize diagnosis of suspect pulmonary nodules, its structure and organization, including processes, human resources and technology infrastructure, its target audience, ie, who would be eligible to use its services, and the expected outcomes of its operation, in terms of a set of key performance indicators. Our review also revealed critical key success factors that should be considered when designing the introduction of a PNC in a health care setting, including optimal referral pathways, aligned clinical decision making and patient preferences and participation/empowerment. Our findings may inform health care systems with a high lung cancer burden and no available PNC service on options and considerations before introducing such a service in their respective settings.Keywords: pulmonary nodules, screening, risk-mitigation in lung cancer, health policy, health care services organization, decision making in health care |
| first_indexed | 2024-04-10T16:44:27Z |
| format | Article |
| id | doaj.art-823ba356fe474fa294f45df04977813d |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-04-10T16:44:27Z |
| publishDate | 2023-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-823ba356fe474fa294f45df04977813d2023-02-08T01:41:54ZengDove Medical PressRisk Management and Healthcare Policy1179-15942023-02-01Volume 1615916881478Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for GreeceSouliotis KGolna CGolnas PKyriakos Souliotis,1,2 Christina Golna,2 Pavlos Golnas2 1Department of Social and Education Policy, University of Peloponnese, Corinth, Greece; 2The Health Policy Institute, Maroussi, GreeceCorrespondence: Kyriakos Souliotis, Email ksouliotis@uop.grAbstract: Early diagnosis of lung cancer in pulmonary nodules identified by computed tomography (CT) may be critical in reducing the epidemiological burden of the disease, particularly in countries where such a burden is considerably high and risk factors for lung cancer very prevalent. The establishment and operation of pulmonary nodule clinics (PNCs), ie, multidisciplinary services that watch and evaluate nodules found through deliberate screening efforts or as incidental findings, is increasingly becoming a key tool to implement such early-intervention, cancer-risk management policies elsewhere in the world. This review aims to research and present in a structured manner findings from published sources on options and considerations for setting up a PNC in a country such as Greece. These refer to the type of services a PNC would provide to optimize diagnosis of suspect pulmonary nodules, its structure and organization, including processes, human resources and technology infrastructure, its target audience, ie, who would be eligible to use its services, and the expected outcomes of its operation, in terms of a set of key performance indicators. Our review also revealed critical key success factors that should be considered when designing the introduction of a PNC in a health care setting, including optimal referral pathways, aligned clinical decision making and patient preferences and participation/empowerment. Our findings may inform health care systems with a high lung cancer burden and no available PNC service on options and considerations before introducing such a service in their respective settings.Keywords: pulmonary nodules, screening, risk-mitigation in lung cancer, health policy, health care services organization, decision making in health carehttps://www.dovepress.com/establishing-a-pulmonary-nodule-clinic-service-for-early-diagnosis-of--peer-reviewed-fulltext-article-RMHPpulmonary nodulesscreeningrisk-mitigation in lung cancerhealth policyhealth care services organizationdecision making in health care |
| spellingShingle | Souliotis K Golna C Golnas P Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece Risk Management and Healthcare Policy pulmonary nodules screening risk-mitigation in lung cancer health policy health care services organization decision making in health care |
| title | Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece |
| title_full | Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece |
| title_fullStr | Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece |
| title_full_unstemmed | Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece |
| title_short | Establishing a Pulmonary Nodule Clinic Service for Early Diagnosis of Lung Cancer – Review of International Options and Considerations for Greece |
| title_sort | establishing a pulmonary nodule clinic service for early diagnosis of lung cancer ndash review of international options and considerations for greece |
| topic | pulmonary nodules screening risk-mitigation in lung cancer health policy health care services organization decision making in health care |
| url | https://www.dovepress.com/establishing-a-pulmonary-nodule-clinic-service-for-early-diagnosis-of--peer-reviewed-fulltext-article-RMHP |
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