Abstract:
BACKGROUND:Low dose computed tomography (LDCT) screening can reduce lung cancer deaths in high risk individuals yet current Australian guidelines do not recommend screening. Little is known about current screening practices in Australia. METHODS:A survey was distributed to a nationally-representative sample of 4000 Australian general practitioners (GPs). The questionnaire included respondent demographics, self-reported screening practices, knowledge of screening recommendations, recent screening education, preference for recruitment methodologies for potential screening programs and potential factors influencing GPs' screening practice. Two logistic regression models identified factors associated with self-reported Chest X-Ray (CXR) and LDCT screening within the last 12 months. RESULTS:A total of 323 GPs attempted the survey (participation rate 8.1%). Participants were mostly females (50.6%), from collective/group (79.1%) and metropolitan-based practices (73.5%). Despite the majority of responders understanding that screening is not recommended by Australian professional societies (71.2%) a substantial proportion of participants requested a CXR or LDCT screening (46.4% and 20.8% respectively). A variety of shared (GP reassurance, affordability of screening, believing screening is funded) and unique practice, educational and cognitive factors were associated with self-reported LDCT and CXR screening, with the strongest association being recent education about screening from radiology practices (aOR for LDCT screening 10.4, p < 0.001). CONCLUSION:In Australia, lung cancer screening is occurring outside a coordinated programme and there is discordance between practice and national recommendations. This highlights an urgent need for clearer guidance from national and professional bodies. This article is protected by copyright. All rights reserved.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Abeyweera PD,Brims FJH,Piccolo F,Lei C,Manners Ddoi
10.1111/imj.14838subject
Has Abstractpub_date
2020-04-01 00:00:00eissn
1444-0903issn
1445-5994pub_type
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