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Stage shifts in national lung adenocarcinoma and the impact of opportunistic self-initiated LDCT screening in Taiwan: a nationwide population-based cohort study.

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Title: Stage shifts in national lung adenocarcinoma and the impact of opportunistic self-initiated LDCT screening in Taiwan: a nationwide population-based cohort study.
Authors: Wu JJ; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan., Chiang CJ; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan., Chen CH; Division of Pulmonary and Critical Care, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Rd., North Dist., Taichung City, 404327, Taiwan.; School of Medicine, College of Medicine, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung City, 406040, Taiwan., Tseng JS; Division of Chest Thoracic Oncology, Department of Chest Medicine, Taichung Veterans General Hospital, No. 1650, Sect. 4, Taiwan Boulevard, Taichung, 407, Taiwan.; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, No. 145 Xingda Rd., South Dist., Taichung City, 402, Taiwan.; Institute of Biomedical Sciences, National Chung Hsing University, No. 250, Kuo Kuang Road, Taichung, 402, Taiwan.; College of Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Li-Nong St., Beitou District, Taipei, 112304, Taiwan.; Lung Cancer Comprehensive Care and Research Center, Taichung Veterans General Hospital, No. 1650, Sect. 4, Taiwan Boulevard, Taichung, 407, Taiwan., Feng PH; Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, No. 250 Wuxing Street, Taipei, 110, Taiwan., Yang YW; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan., Zheng ZR; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan., Chu CH; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan., Yang CJ; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung, 80756, Taiwan.; School of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., Sanmin Dist., Kaohsiung, 80708, Taiwan., Chong IW; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung, 80756, Taiwan., Tu CY; Division of Pulmonary and Critical Care, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Rd., North Dist., Taichung City, 404327, Taiwan.; School of Medicine, College of Medicine, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung City, 406040, Taiwan., Lee WC; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan., Hsia JY; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Thoracic Surgery, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan., Chen KC; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan., Yang PC; Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 1, Jen Ai Rd., Sect. 1, Taipei, 100, Taiwan.; Genomics Research Center, Academia Sinica, No. 128, Academia Rd., Sect. 2, Nankang, Taipei, 115, Taiwan.; Institute of Biomedical Sciences, Academia Sinica, No. 128, Academia Rd., Sect. 2, Nankang, Taipei, 115, Taiwan., Yu SL; Department of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University, No. 1, Chang-Te St., Taipei, 10048, Taiwan.; Department of Laboratory Medicine, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei City, 10002, Taiwan., Chang GC; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Institute of Biomedical Sciences, National Chung Hsing University, No. 250, Kuo Kuang Road, Taichung, 402, Taiwan.
Source: The Lancet regional health. Western Pacific [Lancet Reg Health West Pac] 2026 May 25; Vol. 71, pp. 101887. Date of Electronic Publication: 2026 May 25 (Print Publication: 2026).
Publication Type: Journal Article
Journal Info: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101774968 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-6065 (Electronic) Linking ISSN: 26666065 NLM ISO Abbreviation: Lancet Reg Health West Pac Subsets: PubMed not MEDLINE
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  Data: Stage shifts in national lung adenocarcinoma and the impact of opportunistic self-initiated LDCT screening in Taiwan: a nationwide population-based cohort study.
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  Data: <searchLink fieldCode="AU" term="%22Wu+JJ%22">Wu JJ</searchLink>; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chiang+CJ%22">Chiang CJ</searchLink>; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chen+CH%22">Chen CH</searchLink>; Division of Pulmonary and Critical Care, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Rd., North Dist., Taichung City, 404327, Taiwan.; School of Medicine, College of Medicine, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung City, 406040, Taiwan.<br /><searchLink fieldCode="AU" term="%22Tseng+JS%22">Tseng JS</searchLink>; Division of Chest Thoracic Oncology, Department of Chest Medicine, Taichung Veterans General Hospital, No. 1650, Sect. 4, Taiwan Boulevard, Taichung, 407, Taiwan.; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, No. 145 Xingda Rd., South Dist., Taichung City, 402, Taiwan.; Institute of Biomedical Sciences, National Chung Hsing University, No. 250, Kuo Kuang Road, Taichung, 402, Taiwan.; College of Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Li-Nong St., Beitou District, Taipei, 112304, Taiwan.; Lung Cancer Comprehensive Care and Research Center, Taichung Veterans General Hospital, No. 1650, Sect. 4, Taiwan Boulevard, Taichung, 407, Taiwan.<br /><searchLink fieldCode="AU" term="%22Feng+PH%22">Feng PH</searchLink>; Division of Pulmonary Medicine, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, No. 250 Wuxing Street, Taipei, 110, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yang+YW%22">Yang YW</searchLink>; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.<br /><searchLink fieldCode="AU" term="%22Zheng+ZR%22">Zheng ZR</searchLink>; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chu+CH%22">Chu CH</searchLink>; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yang+CJ%22">Yang CJ</searchLink>; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung, 80756, Taiwan.; School of Post-Baccalaureate Medicine, College of Medicine, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., Sanmin Dist., Kaohsiung, 80708, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chong+IW%22">Chong IW</searchLink>; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung, 80756, Taiwan.<br /><searchLink fieldCode="AU" term="%22Tu+CY%22">Tu CY</searchLink>; Division of Pulmonary and Critical Care, Department of Internal Medicine, China Medical University Hospital, No. 2, Yude Rd., North Dist., Taichung City, 404327, Taiwan.; School of Medicine, College of Medicine, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung City, 406040, Taiwan.<br /><searchLink fieldCode="AU" term="%22Lee+WC%22">Lee WC</searchLink>; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Taiwan Cancer Registry, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.; Institute of Health Data Analytics and Statistics, College of Public Health, National Taiwan University, No. 17, Xu-Zhou Road, Taipei, 100, Taiwan.<br /><searchLink fieldCode="AU" term="%22Hsia+JY%22">Hsia JY</searchLink>; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Thoracic Surgery, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chen+KC%22">Chen KC</searchLink>; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yang+PC%22">Yang PC</searchLink>; Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 1, Jen Ai Rd., Sect. 1, Taipei, 100, Taiwan.; Genomics Research Center, Academia Sinica, No. 128, Academia Rd., Sect. 2, Nankang, Taipei, 115, Taiwan.; Institute of Biomedical Sciences, Academia Sinica, No. 128, Academia Rd., Sect. 2, Nankang, Taipei, 115, Taiwan.<br /><searchLink fieldCode="AU" term="%22Yu+SL%22">Yu SL</searchLink>; Department of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University, No. 1, Chang-Te St., Taipei, 10048, Taiwan.; Department of Laboratory Medicine, National Taiwan University Hospital, No. 7, Chung Shan S. Rd., Zhongzheng Dist., Taipei City, 10002, Taiwan.<br /><searchLink fieldCode="AU" term="%22Chang+GC%22">Chang GC</searchLink>; Institute of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; School of Medicine, Chung Shan Medical University, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Division of Pulmonary Medicine, Department of Internal Medicine, Chung Shan Medical University Hospital, No. 110, Sect. 1, Jianguo N. Road, Taichung, 402, Taiwan.; Institute of Biomedical Sciences, National Chung Hsing University, No. 250, Kuo Kuang Road, Taichung, 402, Taiwan.
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  Data: <searchLink fieldCode="JN" term="%22101774968%22">The Lancet regional health. Western Pacific</searchLink> [Lancet Reg Health West Pac] 2026 May 25; Vol. 71, pp. 101887. <i>Date of Electronic Publication: </i>2026 May 25 (<i>Print Publication: </i>2026).
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Elsevier+Ltd%22">Elsevier Ltd </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>101774968 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>2666-6065 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2226666065%22">26666065 </searchLink><i>NLM ISO Abbreviation: </i>Lancet Reg Health West Pac <i>Subsets: </i>PubMed not MEDLINE
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