scholarly journals Attitudes and Beliefs of Primary Care Providers in New Mexico About Lung Cancer Screening Using Low-Dose Computed Tomography

2015 ◽  
Vol 12 ◽  
Author(s):  
Richard M. Hoffman ◽  
Andrew L. Sussman ◽  
Christina M. Getrich ◽  
Robert L. Rhyne ◽  
Richard E. Crowell ◽  
...  
2016 ◽  
Vol 13 ◽  
Author(s):  
Shiraz I. Mishra ◽  
Andrew L. Sussman ◽  
Ambroshia M. Murrietta ◽  
Christina M. Getrich ◽  
Robert Rhyne ◽  
...  

2019 ◽  
Author(s):  
Lisa BE Shields ◽  
Jessica G Wilkett Barnes ◽  
Connie Buckley ◽  
George J Mikos ◽  
Katie N Rogers ◽  
...  

Abstract Background Lung cancer is the primary cause of cancer death in men and women in the USA, led by Kentucky. In 2015, the Centers for Medicare and Medicaid Services initiated annual lung cancer screening with a low-dose computed tomography (LDCT) scan. This observational cohort study evaluated the multidisciplinary approach to this screening in our metropolitan community. Methods We present the prospective findings of patients who underwent a screening lung LDCT scan over a 2-year period at our institution in Kentucky. Patients who fulfilled the screening criteria were identified during an office visit with their primary care provider. Results Of the 4170 patients who underwent a screening lung LDCT scan, a total of 838 (20.9%) patients had nodules >4 mm. Of the 70 patients diagnosed with lung cancer, Stage 1 non-small cell lung cancer was most commonly detected [38 cases (54.3%)]. A follow-up lung LDCT scan (n = 897), pulmonary function test (n = 157), positron emission tomography scan (n = 12) and a lung biopsy (n = 53) were performed for certain individuals who had anomalies observed on the screening lung LDCT scan. A total of 42% of patients enrolled in group tobacco cessation classes quit smoking. Conclusions This study provides a unique perspective of a lung LDCT scan screening program driven by primary care providers in a state plagued by cigarette smoking and lung cancer deaths and offers a valuable message into the prevention, high-risk screening and diagnosis of lung cancer.


2019 ◽  
pp. E60-E71

Problem Identification: Despite lung cancer screening guidelines and insurance coverage changes, rates of lung cancer screening with low-dose computed tomography remain suboptimal among the eligible population in the United States. Literature Search: Electronic literature databases, including PubMed, CINAHL®, PsycINFO, and Google Scholar, were searched. Data Evaluation: After applying filter information and inclusion and exclusion criteria, 10 articles were reviewed. Methodological rigor was evaluated. Synthesis: Based on the social–ecological approach, barriers to lung cancer screening at the individual level, including sociodemographic characteristics, financial cost, lack of knowledge, inaccurate beliefs about lung cancer screening, distrust of the medical system, stigma around smoking and lung cancer, negative attitudes about outcomes of lung cancer screening, and inconvenience of receiving lung cancer screening, were identified. Barriers at the health-system level included lack of information from primary care providers. Implications for Practice: Overcoming barriers to lung cancer screening at individual and health-system levels is essential to increase lung cancer screening uptake rates.


Lung Cancer ◽  
2017 ◽  
Vol 106 ◽  
pp. 42-49 ◽  
Author(s):  
Vani N. Simmons ◽  
Jhanelle E. Gray ◽  
Matthew B. Schabath ◽  
Lauren E. Wilson ◽  
Gwendolyn P. Quinn

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