Journal article
Adherence to Annual Lung Cancer Screening in a Centralized Academic Program
Clinical lung cancer, Vol.25(1), pp.e18-e25
01/2024
DOI: 10.1016/j.cllc.2023.10.004
Abstract
Adherence to lung cancer screening (LCS) protocols is critical for achieving mortality reductions. However, adherence rates, particularly for recommended annual screening among patients with low-risk findings, are often sub-optimal. We evaluated annual LCS adherence for patients with low-risk findings participating in a centralized screening program at a tertiary academic center.
We conducted a retrospective, observational cohort study of a centralized lung cancer screening program launched in July 2018. We performed electronic medical review of 337 patients who underwent low-dose CT (LDCT) screening before February 1, 2021 (to ensure ≥ 15 months follow up) and had a low-risk Lung-RADS score of 1 or 2. Captured data included patient characteristics (smoking history, Fagerstrom score, environmental exposures, lung cancer risk score), LDCT imaging dates, and Lung-RADS results. The primary outcome measure was adherence to annual screening. We used multivariable logistic regression models to identify factors associated with adherence.
Overall, 337 patients had an initial Lung-RADS result of 1 (n=189) or 2 (n=148). Among this cohort, 139 (73.5%) of Lung-RADS 1 and 111 (75.0%) of Lung-RADS 2 patients completed the annual repeat LDCT within 15 months, respectively. The only patient characteristic associated with adherence was having Medicaid coverage; compared to having private insurance, Medicaid patients were less adherent (adjusted OR=0.37, 95% CI=0.15 – 0.92). No other patient characteristic was associated with adherence.
Our centralized screening program achieved a high initial annual adherence rate. Although LCS has first-dollar insurance coverage, other socioeconomic concerns may present barriers to annual screening for Medicaid recipients.
We conducted a retrospective, observational cohort study of patients participating in a centralized lung cancer screening program at a tertiary academic center. We found a high initial annual adherence rate among low-risk patients. Medicaid coverage was associated with lower adherence.
Details
- Title: Subtitle
- Adherence to Annual Lung Cancer Screening in a Centralized Academic Program
- Creators
- Grace Lee - University of IowaLaura P. Hill - University of IowaMary C. Schroeder - University of IowaSara J. Kraus - University of IowaKimberly M Baker-El Abiad - University of IowaRichard M. Hoffman - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Clinical lung cancer, Vol.25(1), pp.e18-e25
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.cllc.2023.10.004
- ISSN
- 1525-7304
- eISSN
- 1938-0690
- Language
- English
- Electronic publication date
- 10/2023
- Date published
- 01/2024
- Academic Unit
- General Internal Medicine; Internal Medicine; Pharmacy Practice and Science; Nursing; Pulmonary, Critical Care, and Occupational Medicine
- Record Identifier
- 9984482459002771
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