Psychosocial Symptoms and Poor Insight as Predictors of Homicidality Among Clients With Psychosis: Implications for Counseling Practice and Research.

{"article_title":"Executive Summary: Screening for Lung Cancer: Chest Guideline and Expert Panel Report.","author":"Mazzone PJ, Silvestri GA, Souter LH, Caverly TJ, Kanne JP, Katki HA, Wiener RS, Detterbeck FC","journal_title":"Chest","issn":"1931-3543","isbn":"","publication_date":"2021-11-01","volume":"160","issue":"5","first_page":"1959","page_count":"","accession_number":"34270965","doi":"10.1016\/j.chest.2021.07.003","publisher":"Elsevier","doctype":"Journal Article","subjects":"United States; Early Detection of Cancer adverse effects; Early Detection of Cancer methods; Lung Neoplasms diagnosis; Smoking epidemiology; Smoking therapy; Tomography, X-Ray Computed methods; Asymptomatic Diseases; Decision Making, Shared; Humans; Lung diagnostic imaging; Lung Neoplasms physiopathology; Lung Neoplasms psychology; Patient Selection; Radiologic Health methods; Risk Assessment; Smoking Cessation methods; United States","interest_area":["Pulmonology"," Oncology"],"abstract":"Background: Low-dose chest CT screening for lung cancer has become a standard of care in the United States, in large part because of the results of the National Lung Screening Trial (NLST). Additional evidence supporting the net benefit of low-dose chest CT screening for lung cancer, and increased experience in minimizing the potential harms, has accumulated since the prior iteration of these guidelines. Here, we update the evidence base for the benefit, harms, and implementation of low-dose chest CT screening. We use the updated evidence base to provide recommendations where the evidence allows, and statements based on experience and expert consensus where it does not. Methods: Approved panelists reviewed previously developed key questions using the Population, Intervention, Comparator, Outcome format to address the benefit and harms of low-dose CT screening, and key areas of program implementation. A systematic literature review was conducted using MEDLINE via PubMed, Embase, and the Cochrane Library on a quarterly basis since the time of the previous guideline publication. Reference lists from relevant retrievals were searched, and additional papers were added. Retrieved references were reviewed for relevance by two panel members. The quality of the evidence was assessed for each critical or important outcome of interest using the Grading of Recommendations, Assessment, Development and Evaluation approach. Meta-analyses were performed where appropriate. Important clinical questions were addressed based on the evidence developed from the systematic literature review. Graded recommendations and ungraded statements were drafted, voted on, and revised until consensus was reached. Results: The systematic literature review identified 75 additional studies that informed the response to the 12 key questions that were developed. Additional clinical questions were addressed resulting in seven graded recommendations and nine ungraded consensus statements. Conclusions: Evidence suggests that low-dose CT screening for lung cancer can result in a favorable balance of benefit and harms. The selection of screen-eligible individuals, the quality of imaging and image interpretation, the management of screen-detected findings, and the effectiveness of smoking cessation interventions can impact this balance. Copyright \u00a9 2021 American College of Chest Physicians. All rights reserved.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=34270965","isPdfLink":false,"isSAML":true,"an":"34270965","number_other":"","type_pub":"","issn_electronic":"1931-3543","languages":"English","language":"eng","date_entry":"Date Created: 20210716 Date Completed: 20220111 Latest Revision: 20221102","date_update":"20240105","titleSource":"Chest [Chest] 2021 Nov; Vol. 160 (5), pp. 1959-1980. Date of Electronic Publication: 2021 Jul 13.","date_pub_cy":"","type_document":"","contract_publisher":"","authored_on":"2021-11-01","description":"Background: Low-dose chest CT screening for lung cancer has become a standard of care in the United States, in large part because of the results of the National Lung Screening Trial (NLST). Additional evidence supporting the net benefit of low-dose chest CT screening for lung cancer, and increased experience in minimizing the potential harms, has accumulated since the prior iteration of these guidelines. Here, we update the evidence base for the benefit, harms, and implementation of low-dose chest CT screening. We use the updated evidence base to provide recommendations where the evidence allows, and statements based on experience and expert consensus where it does not.<br \/>Methods: Approved panelists reviewed previously developed key questions using the Population, Intervention, Comparator, Outcome format to address the benefit and harms of low-dose CT screening, and key areas of program implementation. A systematic literature review was conducted using MEDLINE via PubMed, Embase, and the Cochrane Library on a quarterly basis since the time of the previous guideline publication. Reference lists from relevant retrievals were searched, and additional papers were added. Retrieved references were reviewed for relevance by two panel members. The quality of the evidence was assessed for each critical or important outcome of interest using the Grading of Recommendations, Assessment, Development and Evaluation approach. Meta-analyses were performed where appropriate. Important clinical questions were addressed based on the evidence developed from the systematic literature review. Graded recommendations and ungraded statements were drafted, voted on, and revised until consensus was reached.<br \/>Results: The systematic literature review identified 75 additional studies that informed the response to the 12 key questions that were developed. Additional clinical questions were addressed resulting in seven graded recommendations and nine ungraded consensus statements.<br \/>Conclusions: Evidence suggests that low-dose CT screening for lung cancer can result in a favorable balance of benefit and harms. The selection of screen-eligible individuals, the quality of imaging and image interpretation, the management of screen-detected findings, and the effectiveness of smoking cessation interventions can impact this balance.<br \/> (Copyright © 2021 American College of Chest Physicians. All rights reserved.)","upload_link":"https:\/\/dx.doi.org\/doi:10.1002\/j.1556-6678.2008.tb00535.x","no_of_pages":"","authored_by":"Mazzone PJ, Silvestri GA, Souter LH, Caverly TJ, Kanne JP, Katki HA, Wiener RS, Detterbeck FC","additionalInfo":{"Authored_By":"Schwartz, Robert C.","Published_Date":"2008-09-01","Source":"Journal of Counseling & Development (Wiley-Blackwell); Fall2008, Vol. 86 Issue 4, p471-481, 11p, 3 Charts","Languages":"English","Subjects":"PSYCHOSES, COUNSELING, REGRESSION analysis, MANIA, AFFECTIVE disorders, BIPOLAR disorder, PATHOLOGICAL psychology, CLINICAL sociology, CLIENT-centered psychotherapy","Title_Abbreviations":"Journal of Counseling & Development (Wiley-Blackwell)","Volume":"86"},"header":{"DbId":"edb","DbLabel":"Complementary Index","An":"34270965","RelevancyScore":"833","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"833.206604003906"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=edb&AN=34270965&authtype=shib&custid=ns346513&group=main&profile=eds"}