Dtsch Med Wochenschr 2019; 144(17): 1202-1207
DOI: 10.1055/a-0818-8200
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© Georg Thieme Verlag KG Stuttgart · New York

Vorsorgeuntersuchungen und Check-ups in der Pneumologie

Screening and check-ups in pneumology
Johannes Kroenig
,
Angélique Holland
,
Claus Franz Vogelmeier
Further Information

Publication History

Publication Date:
27 August 2019 (online)

Abstract

In pneumology, preventive check-ups have played a subordinate role so far. Current research results could change this. In the following article the focus is on lung cancer and COPD, diseases that have a considerable influence on mortality and morbidity in modern society. Approaches will be discussed that will allow earlier diagnosis of COPD or identify patients at risk. In particular Capture, a questionnaire that significantly increases the pre-test probability in COPD diagnostics, should be mentioned here. Lung carcinoma screening is a controversial topic in Germany. In an American study, the relative mortality rate from lung cancer was significantly reduced by CT screening. Results of a European study (Nelson trial) are still pending. A high pre-test probability will also be decisive for lung cancer screening. In this way, the cost-benefit ratio could be optimized. Since COPD patients have a significantly increased risk of lung cancer, there might be overlaps in the screening procedures.

In der Pneumologie spielen Vorsorgeuntersuchungen bisher eine untergeordnete Rolle. Aktuelle Forschungsergebnisse könnten daran etwas ändern. Im Folgenden wird der aktuelle Stand der Vorsorgeuntersuchungen näher beleuchtet. Der Fokus liegt auf dem Lungenkarzinom sowie der chronisch obstruktiven Lungenerkrankung, die einen erheblichen Einfluss auf die Mortalität und Morbidität in unserer Gesellschaft haben.