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All Journal Jurnal Respirologi Indonesia
Ferry Dwi Kurniawan
Universitas Syiah Kuala
Health Professions Medicine & Pharmacology

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Indonesian Society of Respirology (ISR) Consensus Statement on Lung Cancer Screening and Early Detection in Indonesia Sita Andarini; Elisna Syahruddin; Nathaniel Aditya; Jamal Zaini; Ferry Dwi Kurniawan; Sabrina Ermayanti; Noni Novisari Soeroso; Sri Melati Munir; Andreas Infianto; Ana Rima; Ungky Agus Setyawan; Laksmi Wulandari; Haryati Haryati; Ida Ayu Jasminarti; Arif Santoso
Jurnal Respirologi Indonesia Vol 43, No 2 (2023)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v43i2.455

Abstract

Lung cancer is the leading cause of mortality for all cancer globally and in Indonesia. In Indonesia, lung cancer contributes to 12.6% of death of all cancer, making it the number one cause of cancer death, and 8.6% of all cancer incidence in 2018, behind breast, cervical, and colorectal cancer. The total cases per year are expected to almost double from 30,023 in 2018 to 54,983 cases in 2040. Smoking is among the risk factors for lung cancer, after occupational/environmental risk factors, history of lung fibrosis, and family history of cancer. There was a tendency of younger smokers in Indonesia and increased lung cancer incidence and prevalence in the younger population. The median age of lung cancer in Indonesia was younger than in any country, probably due to the younger age of smoking, early onset of carcinogens, asbestos use, and environmental. Lung cancer screening is a voluntary measure to detect lung cancer in the earliest stage, to find cancer at curable disease before symptoms appear in high-risk individuals. Lung cancer early detection is strategies to find cancer earlier after symptoms appear (cough, hemoptysis, dyspnea, chest pain). Low-dose computerized tomography of the thorax (LDCT) screening has been known to reduce lung cancer mortality compared to a chest x-ray (CXR). This Indonesian Society of Respirology consensus statement was aimed to give recommendations on lung cancer screening and early diagnosis in Indonesia.
Correlation of Smoking with Carbon Monoxide Level and Peak Expiratory Flow Rate in High School Students Banda Aceh Julie Amalliah; Sri Dianova; Ferry Dwi Kurniawan; Teuku Zulfikar; Nurrahmah Yusuf
Jurnal Respirologi Indonesia Vol 43, No 3 (2023)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v43i3.294

Abstract

Background: Indonesia has the highest number of adolescent smokers in the world. Carbon monoxide (CO) is a by-product of tobacco smoking and is inhaled into the lungs. A smokerlyzer can monitor its level. Cigarette smoke also causes inflammation that affects airflow in the airways and can be detected by measuring the peak expiratory flow rate (PEFR). This study aims to determine the relationship between smoking and CO levels and PEFR in high school students in Banda Aceh City.Methods: This quantitative study uses an analytical observational approach with a cross-sectional design. This study involved 300 students from five senior high schools in Banda Aceh. The data were analyzed using the Mann-Whitney and Spearman test with a significance value <0.05.Results: CO levels of the smoker students were higher (12.61 ± 3.342 ppm) than nonsmoker students (2.46 ± 0.569 ppm), p=0.000. The average PEFR for smoking students was lower than nonsmokers (61.11 ± 9.163%) than for non-smoking students (78.48 ± 6.804 %), p=0.000. Duration of smoking in smoking students was also strongly associated with CO levels and PEFR (r=+0.749, p=0,000, r=-0.560, p=0.000, respectively).Conclusion: There is a relationship between smoking and CO levels and PEFR in senior high school students in Banda Aceh.
Co-Authors Ana Rima Andreas Infianto Arif Santoso Elisna Syahruddin Ermayanti, Sabrina Haryati Haryati Ida Ayu Jasminarti Jamal Zaini Julie Amalliah Laksmi Wulandari Nathaniel Aditya Noni Novisari Soeroso Nurrahmah Yusuf Setyawan, Ungky Agus Sita Andarini Sri Dianova Sri Melati Munir Teuku Zulfikar