Archivos de bronconeumología
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Arch. Bronconeumol. · Apr 2013
ReviewLung cancer screening with low-dose computed tomography after the National Lung Screening Trial. The debate is still open.
The aim of this article is to highlight some concerns regarding lung cancer screening with CT through a thorough analysis of scientific literature. The publication of the National Lung Screening Trial in 2011 has revealed that CT screening of smokers and ex-smokers in three annual rounds reduces lung cancer mortality a 20% when compared with thorax x-ray screening. The first limitation of this screening modality is its lack of downstaging in successive screening rounds compared with the initial round. ⋯ Lastly, published studies on lung cancer CT screening are vastly heterogeneous. They include different age groups, different types of smokers and ex-smokers and different tomogram thickness, making the results hardly comparable. In this context we do not recommend lung cancer screening with CT for smokers or ex-smokers outside of the context of individual counseling.
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Arch. Bronconeumol. · Apr 2013
Letter Case ReportsHypersensitivity pneumonitis due to exposure to Mycobacterium avium.
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Arch. Bronconeumol. · Mar 2013
Letter Historical ArticleWegener's disease and clara cells: eponyms and dignity in respiratory medicine.
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Arch. Bronconeumol. · Feb 2013
Clinical utility and economic impact of conventional transbronchial needle aspiration of mediastinal lymphadenopathies in bronchogenic carcinoma.
To analyze the clinical utility and economic impact of conventional transbronchial needle aspiration (TBNA) in patients with diagnosis of bronchogenic carcinoma (BC) and mediastinal lymphadenopathies in thoracic computed tomography (CT). To assess the predictive factors of valid aspirations. ⋯ TBNA is a clinically useful, cost-effective technique in patients with BC and mediastinal or hilar lymphadenopathies. It should therefore be performed on a regular basis during diagnostic bronchoscopy of these patients.
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Arch. Bronconeumol. · Feb 2013
The day hospital: analysis of results, costs and management of pneumology resources.
Day hospital units specialized in pulmonology are a relatively new instrument for providing care to complex respiratory patients. However, the number of studies focused on the efficacy and efficiency of day hospitals is scarce. ⋯ Day hospital pulmonology units are a useful tool in the management of respiratory patient care. They reduce the need for hospitalizations, while maintaining healthcare quality and complementing other care management instruments.