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CHEST 2011: Embargoed studies highlight new lung cancer and COPD research
Date:10/23/2011

Detroit Holds Record for Highest Lung Cancer Mortality Rates
(#1111771, Tuesday, October 25, 3:00 PM Eastern)

Compared with other cities, Detroit has one of the highest mortality rates in the United States for non-small cell lung cancer (NSCLC). Based on data from the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program, researchers from the McLaren Regional Medical Center in Flint, Michigan and the Mayo Clinic, in Minneapolis, Minnesota studied cancer-specific survival between Detroit and other city registries by ethnicity. They identified a total of 105,522 cases of small cell lung cancer and 3,094,764 cases of NSCLC. In all categories among ethnicities, Detroit showed lower survival rates than anywhere else in the United States. The differences in mortality existing between registries could reflect differences in health-care access and the stage of the tumor at the time discovered.

Conflicting Standards May Lead to Overdiagnosis or Underdiagnosis of COPD
(#1118428, Sunday, October 23, 4:45 PM Eastern)

Researchers from The Brooklyn Hospital Center in New York documented the diagnosis, stratification, and treatment discordance between the most widely accepted Global Initiative for Chronic Obstructive Lung Disease (GOLD) standards and the American Thoracic Society/European Respiratory Society (ATS/ERS) standards for COPD. After reviewing the pulmonary function reports of 217 patients with the clinical diagnosis of COPD, researchers found the rate of discordance was 11%, while four patients with a median age of 41 years met the ATS standards but not the GOLD standards. The conflicting diagnostic criteria, severity classification, and treatment recommendations create a dilemma in patient care, especially in patients with borderline diagnostic criteria and overlapping classifications of severity. Without this consensus, older patients may be overdiagnosed with COPD and younger patients under
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Contact: Sue Roberts
sroberts@chestnet.org
847-498-8334
American College of Chest Physicians
Source:Eurekalert

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