{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:56:37Z","timestamp":1785131797820,"version":"3.55.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T00:00:00Z","timestamp":1555718400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Pomeranian Lung Cancer Screening Programme"},{"name":"European Economic Area Financial Mechanism"},{"name":"Marshall of the Pomeranian Voivodeship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In 2010, the World Health Organisation recommended implementation of screening programmes in four groups of diseases\u2014neoplasms, cardiovascular diseases (CVD), diabetes mellitus (DM) and chronic obstructive pulmonary disease (COPD). It is due to the fact that they share the same, modifiable risk factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Between 2009 and 2011, 8637 heavy smokers (aged 50\u201375, smoking history &amp;gt;20 pack-years) were screened in the Pomeranian Pilot Lung Cancer Screening Programme (PPP) in Gda\u0144sk, Poland. We looked at 5-year follow-up and analysed the medical events and comorbidities of all participants. One health care provider in the Polish health care system provides a unique opportunity to gather most reliable data on all medical events in each person.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In 52.0% of lung cancer screening participants CVD (33.5%), DM (26.0%) and COPD (21.0%) were diagnosed. Prevalence of these diseases is higher in lung cancer patients than in the non-cancer screening group (P &amp;lt; 0.0001). One hundred and seven (1.2%) lung cancers were diagnosed during PPP programme performance and another 382 cases (4.4%) in the 5-year follow-up, so the potential mean annual lung cancer detection rate is 0.77%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Lung cancer screening programme offers a great potential for joint screening of lung cancer, CVD, diabetes and COPD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckz052","type":"journal-article","created":{"date-parts":[[2019,3,22]],"date-time":"2019-03-22T00:16:55Z","timestamp":1553213815000},"page":"1114-1117","source":"Crossref","is-referenced-by-count":8,"title":["Lung cancer survival and comorbidities in lung cancer screening participants of the Gda\u0144sk screening cohort"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8129-8299","authenticated-orcid":false,"given":"Marcin","family":"Ostrowski","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Marczyk","sequence":"additional","affiliation":[{"name":"Data Mining Division, Silesian University of Technology, Gliwice, Poland"},{"name":"Department of Internal Medicine, Howard Hughes Medical Institute, Yale University, New Haven, CT 06519, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Dziedzic","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Jelitto-G\u00f3rska","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Marja\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylwia","family":"Pisiak","sequence":"additional","affiliation":[{"name":"Department of Non-Invasive Cardiac Diagnostics, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadeusz","family":"J\u0119drzejczyk","sequence":"additional","affiliation":[{"name":"Department of Public Health and Social Medicine, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Pola\u0144ska","sequence":"additional","affiliation":[{"name":"Data Mining Division, Silesian University of Technology, Gliwice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Zdrojewski","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Education, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogdan","family":"Wojtyniak","sequence":"additional","affiliation":[{"name":"National Institute of Public Health\u2014National Institute of Hygiene, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"Rzyman","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medical University of Gda\u0144sk, Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,4,19]]},"reference":[{"key":"2019120610033489800_ckz052-B1","first-page":"176","volume-title":"Global Status Report on Noncommunicable Diseases","year":"2010"},{"key":"2019120610033489800_ckz052-B2","volume-title":"The Main Causes of Deaths in Poland\u2014Report of the Central Statistical Office of Poland","year":"2017"},{"key":"2019120610033489800_ckz052-B3","doi-asserted-by":"crossref","first-page":"149","DOI":"10.21037\/atm.2016.04.04","article-title":"Lung cancer screening moving forward","volume":"4","author":"Rzyman","year":"2016","journal-title":"Ann Transl Med"},{"key":"2019120610033489800_ckz052-B4","first-page":"330","article-title":"Screening for lung cancer: U.S. Preventive Services Task Force Recommendation statement","volume":"160","author":"Moyer","year":"2014","journal-title":"Ann Intern Med"},{"key":"2019120610033489800_ckz052-B5","first-page":"182","article-title":"Formidable challenges ahead for lung cancer screening","volume":"26","author":"Berg","year":"2012","journal-title":"Oncology"},{"key":"2019120610033489800_ckz052-B6","first-page":"232","article-title":"Results of an open-access lung cancer screening programme with low-dose computed tomography: the Gda\u0144sk experience","volume":"125","author":"Rzyman","year":"2015","journal-title":"Pol Arch Med Wewn"},{"key":"2019120610033489800_ckz052-B7","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1093\/icvts\/ivt388","article-title":"Diagnostic work-up and surgery in participants of the Gdansk lung cancer screening programme: the incidence of surgery for non-malignant conditions","volume":"17","author":"Rzyman","year":"2013","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2019120610033489800_ckz052-B8","volume-title":"International Classification of Diseases (Clinical Modification)\u20149th Revision","year":"2011"},{"key":"2019120610033489800_ckz052-B9","volume-title":"International Statistical Classification of Diseases and Related Health Problems\u201410th Revision","year":"2010"},{"key":"2019120610033489800_ckz052-B10","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1093\/jnci\/djq434","article-title":"Baseline characteristics of participants in the randomized National Lung Screening Trial","volume":"102","author":"Aberle","year":"2010","journal-title":"J Natl Cancer Inst"},{"key":"2019120610033489800_ckz052-B11","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1097\/JTO.0000000000000488","article-title":"Baseline characteristics and mortality outcomes of control group participants and eligible non-responders in the NELSON lung cancer screening study","volume":"10","author":"Yousaf-Khan","year":"2015","journal-title":"J Thorac Oncol"},{"key":"2019120610033489800_ckz052-B12","doi-asserted-by":"crossref","first-page":"4341","DOI":"10.1002\/cncr.29677","article-title":"Comorbidities, smoking status, and life expectancy among individuals eligible for lung cancer screening","volume":"121","author":"Howard","year":"2015","journal-title":"Cancer"},{"key":"2019120610033489800_ckz052-B13","doi-asserted-by":"crossref","first-page":"2234","DOI":"10.1001\/jama.2014.15825","article-title":"Effect of screening for coronary artery disease using CT angiography on mortality and cardiac events in high-risk patients with diabetes","volume":"312","author":"Muhlestein","year":"2014","journal-title":"JAMA"},{"key":"2019120610033489800_ckz052-B14","doi-asserted-by":"crossref","first-page":"535","DOI":"10.7326\/0003-4819-148-7-200804010-00213","article-title":"Screening for chronic obstructive pulmonary disease using spirometry: summary of the evidence for the U.S. Preventive Services Task Force","volume":"148","author":"Lin","year":"2008","journal-title":"Ann Intern Med"},{"key":"2019120610033489800_ckz052-B15","doi-asserted-by":"crossref","first-page":"411","DOI":"10.7326\/0003-4819-159-6-201309170-00690","article-title":"Screening for lung cancer with low-dose computed tomography: a systematic review to update the U.S. Preventive Services Task Force Recommendation","volume":"159","author":"Humphrey","year":"2013","journal-title":"Ann Intern Med"},{"key":"2019120610033489800_ckz052-B16","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1016\/j.jacr.2016.09.004","article-title":"Promising approaches from behavioral economics to improve patient lung cancer screening decisions","volume":"13","author":"Barnes","year":"2016","journal-title":"J Am Coll Radiol"}],"container-title":["European Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/eurpub\/article-pdf\/29\/6\/1114\/31247785\/ckz052.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/eurpub\/article-pdf\/29\/6\/1114\/31247785\/ckz052.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T10:06:06Z","timestamp":1575626766000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurpub\/article\/29\/6\/1114\/5475452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,19]]},"references-count":16,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,4,19]]},"published-print":{"date-parts":[[2019,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/eurpub\/ckz052","relation":{},"ISSN":["1101-1262","1464-360X"],"issn-type":[{"value":"1101-1262","type":"print"},{"value":"1464-360X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,12]]},"published":{"date-parts":[[2019,4,19]]}}}