Factors Affecting Patient Adherence to Lung Cancer Screening.

Abstract:

OBJECTIVES:The National Lung Screening Trial (NLST) demonstrated a 20% reduction in mortality with low-dose computed tomography (CT) for lung cancer screening (LCS). The NLST found the greatest benefit to LCS for patients who underwent annual screening for a full 3-year follow-up period. The adherence to serial imaging in the NLST was 95%. METHODS:We conducted a prospective study of 268 patients who presented for LCS and who were not enrolled in a research study to determine the adherence to recommended follow-up imaging and biopsy at a single center. We evaluated the correlations among sociodemographic characteristics, Lung Imaging and Reporting Data System, and adherence. RESULTS:Only 48% of the patient population received recommended follow-up (either imaging or biopsy) after their referent LCS. Patients with abnormal LCS (Lung Imaging and Reporting Data System 3 or 4) were more likely to adhere to the recommended follow-up (additional imaging or biopsy) compared with those with negative screens. Sex, ethnicity, smoking status, and household income were not correlated with adherence to screening and biopsy. CONCLUSIONS:The benefits from LCS observed in the NLST may be undermined by low adherence to follow-up screening. Studies targeting LCS patients to bolster adherence to follow-up are needed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Bellinger C,Foley K,Genese F,Lampkin A,Kuperberg S

doi

10.14423/SMJ.0000000000001167

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

564-567

issue

11

eissn

0038-4348

issn

1541-8243

pii

SMJ50849

journal_volume

113

pub_type

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