Journal article
Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management An Official American Thoracic Society Research Statement
American journal of respiratory and critical care medicine, Vol.207(6), pp.E31-E46
03/15/2023
DOI: 10.1164/rccm.202212-2216ST
PMID: 36920066
Abstract
Background: Lung nodules are common incidental findings, and timely evaluation is critical to ensure diagnosis of localizedstage and potentially curable lung cancers. Rates of guidelineconcordant lung nodule evaluation are low, and the risk of delayed evaluation is higher for minoritized groups.
Objectives: To summarize the existing evidence, identify knowledge gaps, and prioritize research questions related to interventions to reduce disparities in lung nodule evaluation.
Methods: A multidisciplinary committee was convened to review the evidence and identify key knowledge gaps in four domains: 1) research methodology, 2) patient-level interventions, 3) clinicianlevel interventions, and 4) health system-level interventions. A modified Delphi approach was used to identify research priorities.
Results: Key knowledge gaps included 1) a lack of standardized approaches to identify factors associated with lung nodule management disparities, 2) limited data evaluating the role of social determinants of health on disparities in lung nodule management, 3) a lack of certainty regarding the optimal strategy to improve patient-clinician communication and information transmission and/or retention, and 4) a paucity of information on the impact of patient navigators and culturally trainedmultidisciplinary teams.
Conclusions: This statement outlines a research agenda intended to stimulate high-impact studies of interventions to mitigate disparities in lung nodule evaluation. Research questions were prioritized around the following domains: 1) need for methodologic guidelines for conducting research related to disparities in nodule management, 2) evaluating how social determinants of health influence lung nodule evaluation, 3) studying approaches to improve patient-clinician communication, and 4) evaluating the utility of patient navigators and culturally enriched multidisciplinary teams to reduce disparities.
Details
- Title: Subtitle
- Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management An Official American Thoracic Society Research Statement
- Creators
- Katrina Steiling - Boston UniversityHasmeena Kathuria - Boston UniversityChidiebere Peter Echieh - University of CalabarDavid E. Ost - Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USAM. Patricia Rivera - University of RochesterAbbie Begnaud - University of MinnesotaJuan C. Celedon - University of PittsburghMarjory Chariot - Univ N Carolina, Lineberger Comprehens Canc Ctr, Chapel Hill, NC 27515 USAFrank DietrickNarjust Duma - Dana Farber Canc Inst, Boston, MA 02115 USAKwun M. Fong - Prince Charles Hosp, Brisbane, Qld, AustraliaJean G. FordMichael K. Gould - Kaiser PermanenteFernando Holguin - Univ Colorado, Sch Med, Aurora, CO USAEliseo J. Perez-Stable - NIH, Bldg 10, Bethesda, MD 20892 USANichole T. Tanner - University of South CarolinaCarey Conley Thomson - Mt Auburn Hosp, Cambridge, MA USARenda Soylemez Wiener - Boston UniversityJuan Wisnivesky - Icahn Sch Med Mt Sinai, New York, NY 10029 USAAmerican Thoracic Society Assembly on Thoracic Oncology
- Resource Type
- Journal article
- Publication Details
- American journal of respiratory and critical care medicine, Vol.207(6), pp.E31-E46
- DOI
- 10.1164/rccm.202212-2216ST
- PMID
- 36920066
- ISSN
- 1073-449X
- eISSN
- 1535-4970
- Publisher
- Amer Thoracic Soc
- Number of pages
- 16
- Grant note
- American Thoracic Society
- Language
- English
- Date published
- 03/15/2023
- Academic Unit
- Internal Medicine
- Record Identifier
- 9985179800002771
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