Health Condition 1: J439- Emphysema, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Individuals aged =50 years with =20 pack-year history of smoking (or smoking index =400)
Exclusion criteria
Exclusion criteria: 1. Symptomatic structural lung disease other than COPD (e.g., bronchiectasis, chronic pulmonary aspergillosis, pulmonary fibrosis) 2. Severe comorbid condition which is likely to limit the survival of the patient in the opinion of the investigator (e.g., advanced lung disease, cardiovascular disease, chronic kidney disease, chronic liver disease) 3. Clinical suspicion of lung cancer (e.g., symptoms [hemoptysis, hoarseness, chest pain], signs [clubbing, lymphadenopathy], or abnormal chest radiograph [mediastinal widening, lung nodule or mass, collapse, or pleural effusion] suggestive of malignancy). 4. Conditions which may interfere interpretation of CT (e.g., metallic implants on chest wall, cardiac pacemakers) 5. Treatment for any other cancer in the last 5 years 6. Pulmonary infection (for which treatment with antimicrobials is indicated) which is active at present or was recent (within the last 3 months) 7. Patients who have underwent CT chest within the last 12 months 8. Negative consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Screen positivity rate with LDCT and ULDCT screeningTimepoint: 18 months from the start of trial | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean radiation dose with LDCT and ULDCT 2. Lung cancer detection rate with LDCT and ULDCT 3. Proportion of patients requiring additional procedures (imaging/invasive procedures) in both groups 4. Proportion of patients developing complications due to additional procedures in both groups 5. Proportion of patients who quit/re-initiated smoking after inclusion in studyTimepoint: 18 months from the start of trial | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Mangalagiri, India