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ISSN 1561-3003 (Electronic)

2012, Number 1

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Rev Cubana Hig Epidemiol 2012; 50 (1)

A form designed to prevent and to manage the lung cancer in Cuba, 2010

Varona PP, Torres BP, Elejalde LAR, Hernández CEA, Neninger VCE

Language: Spanish
References: 18
Page:
PDF size: 148.50 Kb.


ABSTRACT

Introduction: the lung cancer is a serious health problem in Cuba affecting both sexes. Its high incidence and mortality have a trend to increase more evident in women. Its diagnosis frequently is made in the advanced stages.
Objectives: to standardize procedures allowing from the primary level of care a procedure organized for prevention and management of lung cancer emphasizing the persons in risk, as well as to contribute to reduce the late diagnosis of disease.
Methods: to construction of algorithm authors took into account the main risk factors of lung cancer and among them that of great contribution: smoking. A structured sequence of steps was organized including the implementation of "strategy" of three A (to find out, to encourage, to advice) proposed by WHO, suitable for our context and modified when it was applied for the first time in passive smokers. The form was submitted to validation according to the expert criteria.
Results: an algorithm was designed from the exploration of main risk factors of lung cancer, directed to systematize a preventive behavior of smoking, as well as the management systematics of individual in risk with the active participation of family physician and nurse over all the care process. The result of validation was satisfactory and the expert recommendations were incorporated.
Final considerations: to achieve the diagnosis in earlier stages of disease and of the contribution to reduction of morbility and mortality which are challenges of current Cuban public health, we must to take into account the proposal of this form of prevention and appropriate management of lung cancer from the primary care level.


REFERENCES

  1. World Health Organization. Cancer Control: Knowledge into Action. WHO Guide for Effective Programmes. Planning. Ginebra: OMS; 2006.

  2. Bach P, Silvestre G, Hanger M, Jett J. Screening for lung cancer: ACCP Evidence-Based Clinical practice Guidelines. Chest [Internet]. 2007 [cited may 2010] 132(3 Suppl.):S69-77. Disponible en: http://chestjournal.chestpubs.org/content/132/3_suppl/69S.long

  3. Varona P, Herrera D, García R, Bonet M, Romero T, Venero S. Smoking-Attributable Mortality in Cuba. MEDICC Review [Internet]. 2009 [cited may 201011(3):43-7. Disponible en: http://www.medicc.org/mediccreview/articles/mr_105.pdf

  4. Ministerio de Salud Pública. Dirección Nacional de Registros Médicos y estadísticas de Salud. Anuario Estadístico de Salud. La Habana: MINSAP; 2010.

  5. Doll R, Petto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ [Internet]. 2004 [cited may 2010] 328(7455):1519-28. Disponible en: http://www.bmj.com/content/328/7455/1519.long

  6. World Health Organization. Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines. Monographis on the evaluation of carcinogenic risks to humans. París: International Agency for Research on Cancer; 2004.

  7. Black C, Verteuil R, Walker Sh, Ayres J, Boland A, Bagust A, Waugh N. Population screening for lung cancer using computed tomography, is there evidence of clinical effectiveness? A systematic review of the literature. Thorax [Internet]. 2007 [cited may 2010] 62(2):131-8. Disponible en: http://thorax.bmj.com/content/62/2/131.full.pdf

  8. Ministerio de Salud Pública. Proyecciones de la Salud Pública en Cuba para el 2015. La Habana: Editorial de Ciencias Médicas; 2006.

  9. Monteagudo A. Cáncer de pulmón. Propuesta ética para agilizar su diagnóstico [Tesis]. Camagüey: Hospital Universitario "Manuel Ascunce Domenech"; 2004.

  10. Neninger Vinageras E. Tabaquismo y cáncer de pulmón. En: III Congreso Estudiantil Virtual de Ciencias Médicas. La Habana: Facultad de Ciencias Médicas "Cmdte. Manuel Fajardo". ENCIMED; 2002.

  11. Instituto Nacional del Cáncer. Lo que usted necesita saber sobre el cáncer de pulmón [Internet]. Rockville, MD: NCI; 2008 [citado: mayo 2010]. Disponible en: http://www.cancer.gov/espanol/tipos/necesita-saber/pulmon.pdf

  12. EE.UU. Department of Health and Human Services. How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease: A report of the surgeon general [Internet]. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. Office of the Surgeon General [Internet]. 2010 [cited: may 2010]. Disponible en: http://www.surgeongeneral.gov/library/tobaccosmoke/report/executivesummary.pdf

  13. Barros Dios JM, Ruano Raviña A. Cáncer de pulmón. Factores de riesgo. Invest Cienc. 2004;(337):31-3.

  14. Fiore M, Bailey W, Cohen S, Dorfman S, Goldstein M, Gritz E, et al. Treating tobacco use and dependence [Internet]. Rockville (MD): EE.UU. Department of Health and Human Services, Public Health Service; 2008 [cited may 2010]. Disponible en: http://www.guideline.gov/content.aspx?id=12520

  15. The Royal Australian Collage of General Practitioners. Guidelines for Preventive Activities in General Practice (the red book) [Internet]. Melbourne: RACGP; 2009 [cited may 2010]. Available from: http://www.racgp.org.au/guidelines/redbook

  16. Epping-Jordan J. Health Care for Chronic Conditions. Managing Behavioral Risks. Geneva: World Health Organization; 2004.

  17. Gordon J, Andrews J, Crews K, Payne Th, Severson H. Tobacco Cessation via Public Dental Clinics: Results of a Randomized Trial. Am J Public Health. 2010;100(7):1307-12.

  18. Fanaian M, Laws R, Passey M, McKenzie S, Wan Q, Powell G, et.al. Health improvement and prevention study (HIPS) evaluation of an intervention to prevent vascular disease in general practice. New South Wales, Sydney: BMC Family Practice; 2010 [cited may 2010]. Disponible en: http://www.biomedcentral.com/content/pdf/1471-2296-11-57.pdf




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