دورية أكاديمية
Revisiting the lung cancer screening eligibility criteria to promote equity for Black individuals.
| العنوان: | Revisiting the lung cancer screening eligibility criteria to promote equity for Black individuals. |
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| المؤلفون: | Gudina AT; Department of Public Health Sciences at the University of Rochester, School of Medicine and Dentistry, NY, United States. Electronic address: Abdi_Gudina@urmc.rochester.edu., Kamen C; Division of Supportive Care in Cancer in the Department of Surgery at the University of Rochester, School of Medicine and Dentistry and the James P. Wilmot Cancer Institute at the University of Rochester, School of Medicine and Dentistry, NY, United States., Hardy SJ; Department of Radiation Oncology, University of Rochester Medical Center, Rochester, NY, United States; Department of Neurology, University of Rochester Medical Center, Rochester, NY, United States., Kehoe L; Division of Supportive Care in Cancer in the Department of Surgery at the University of Rochester, School of Medicine and Dentistry and the James P. Wilmot Cancer Institute at the University of Rochester, School of Medicine and Dentistry, NY, United States., Culakova E; Division of Supportive Care in Cancer in the Department of Surgery at the University of Rochester, School of Medicine and Dentistry and the James P. Wilmot Cancer Institute at the University of Rochester, School of Medicine and Dentistry, NY, United States., Cupertino AP; Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY, United States. |
| المصدر: | Lung cancer (Amsterdam, Netherlands) [Lung Cancer] 2024 May; Vol. 191, pp. 107539. Date of Electronic Publication: 2024 Mar 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 8800805 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8332 (Electronic) Linking ISSN: 01695002 NLM ISO Abbreviation: Lung Cancer Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Limerick : Elsevier Scientific Publishers Original Publication: Amsterdam, The Netherlands : Elsevier, c1985- |
| مواضيع طبية MeSH: | Early Detection of Cancer*/methods , Lung Neoplasms*/diagnosis , Lung Neoplasms*/epidemiology, Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Behavioral Risk Factor Surveillance System ; Black or African American/statistics & numerical data ; Eligibility Determination/methods ; Healthcare Disparities ; Tomography, X-Ray Computed/methods ; United States/epidemiology ; White People/statistics & numerical data ; White |
| مستخلص: | Background: Early detection using low-dose computed tomography reduces lung-cancer-specific mortality by 20% among high-risk individuals. Blacks are less likely than Whites to meet lung cancer screening (LCS) criteria under both the former and the updated United States Preventive Services Task Force (USPSTF) guidelines. The purpose of this study was to assess racial disparities in LCS eligibility and to propose tailored eligibility criteria for Blacks to enable equitable screening rate between Whites and Blacks. Methods: Data for this study were obtained from the Behavioral Risk Factor Surveillance System (2017-2021). 101,552 subjects were included in the final analysis. By employing a systematic approach, we sought cut-off points at which Blacks were equally likely as Whites to be eligible for LCS. We evaluated the minimum age and smoking pack-years for Blacks while we retained the 2021 USPSTF criteria for Whites. The final decision was based on the minimum Wald's Chi-square statistics. Results: The model we employed identified cut-off points at which Blacks were equally likely as Whites to be eligible for LCS. Retaining the 2021 USPSTF criteria for Whites, the model discovered a new pair of points for Blacks by reducing the minimum age to 43 years and decreasing the cumulative number of cigarettes smoked to 15 pack-years. Based on these cut-off points, we created tailored criteria for Blacks. Under the tailored criteria, Blacks (OR: 1.00; 95 %CI: 0.88-1.14) had the same odds of eligibility for LCS as Whites. The odds of eligibility for LCS by sex under the tailored criteria did not differ significantly for Black men (OR: 1.02; 95 %CI: 0.85-1.24) and Black women (OR: 0.95; 95 %CI: 0.81-1.12) compared to their respective White counterparts. Conclusions: These tailored criteria for Blacks eliminate the disparities between Blacks and Whites in LCS eligibility. Future studies should test the sensitivity and specificity of these tailored criteria. Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 Elsevier B.V. All rights reserved.) |
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| معلومات مُعتمدة: | T32 CA102618 United States CA NCI NIH HHS; TL1 TR002000 United States TR NCATS NIH HHS; UG1 CA189961 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Eligibility criteria; Low-dose computed tomography; Lung cancer screening; Tailored criteria; USPSTF |
| تواريخ الأحداث: | Date Created: 20240329 Date Completed: 20240506 Latest Revision: 20240820 |
| رمز التحديث: | 20240820 |
| مُعرف محوري في PubMed: | PMC11332250 |
| DOI: | 10.1016/j.lungcan.2024.107539 |
| PMID: | 38552545 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1872-8332 |
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| DOI: | 10.1016/j.lungcan.2024.107539 |