دورية أكاديمية

Lung cancer screening provider recommendation and completion in black and White patients with a smoking history in two healthcare systems: a survey study.

التفاصيل البيبلوغرافية
العنوان: Lung cancer screening provider recommendation and completion in black and White patients with a smoking history in two healthcare systems: a survey study.
المؤلفون: Japuntich SJ; Hennepin Healthcare, 730 South 8th St., Minneapolis, MN, 55415, USA. Sandra.Japuntich@hcmed.org.; Hennepin Healthcare Research Institute, 701 Park Ave., PP7.700, Minneapolis, MN, 55415, USA. Sandra.Japuntich@hcmed.org.; Department of Medicine, University of Minnesota Medical School, 401 East River Parkway, VCRC 1st Floor, Suite 131, Minneapolis, MN, 55455, USA. Sandra.Japuntich@hcmed.org., Walaska K; The Miriam Hospital, Coro Center West, 1 Hoppin St., Suite 309, Providence, RI, 02903, USA., Friedman EY; Hennepin Healthcare Research Institute, 701 Park Ave., PP7.700, Minneapolis, MN, 55415, USA., Balletto B; The Miriam Hospital, Coro Center West, 1 Hoppin St., Suite 309, Providence, RI, 02903, USA., Cameron S; Hennepin Healthcare Research Institute, 701 Park Ave., PP7.700, Minneapolis, MN, 55415, USA., Tanzer JR; Rhode Island Hospital, 130 Plain St., Providence, RI, 02903, USA., Fang P; Hennepin Healthcare Research Institute, 701 Park Ave., PP7.700, Minneapolis, MN, 55415, USA., Clark MA; Brown University School of Public Health, One Davol Square, 121 South Main St, Providence, RI, 02903, USA., Carey MP; Department of Psychiatry and Human Behavior, Brown University, 75 Waterman St, Providence, RI, 02912, USA., Fava J; The Miriam Hospital, Coro Center West, 1 Hoppin St., Suite 309, Providence, RI, 02903, USA., Busch AM; Hennepin Healthcare, 730 South 8th St., Minneapolis, MN, 55415, USA.; Hennepin Healthcare Research Institute, 701 Park Ave., PP7.700, Minneapolis, MN, 55415, USA.; Department of Medicine, University of Minnesota Medical School, 401 East River Parkway, VCRC 1st Floor, Suite 131, Minneapolis, MN, 55455, USA., Breault C; The Miriam Hospital, Coro Center West, 1 Hoppin St., Suite 309, Providence, RI, 02903, USA., Rosen R; The Miriam Hospital, Coro Center West, 1 Hoppin St., Suite 309, Providence, RI, 02903, USA.; Brown University School of Public Health, One Davol Square, 121 South Main St, Providence, RI, 02903, USA.
المصدر: BMC primary care [BMC Prim Care] 2024 Jun 07; Vol. 25 (1), pp. 202. Date of Electronic Publication: 2024 Jun 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9918300889006676 Publication Model: Electronic Cited Medium: Internet ISSN: 2731-4553 (Electronic) Linking ISSN: 27314553 NLM ISO Abbreviation: BMC Prim Care Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central Ltd., [2022]-
مواضيع طبية MeSH: Black or African American*/statistics & numerical data , Early Detection of Cancer* , Lung Neoplasms*/epidemiology , Lung Neoplasms*/ethnology , Lung Neoplasms*/diagnosis , Smoking*/epidemiology , White*/statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/ethnology ; Colorectal Neoplasms/epidemiology ; Surveys and Questionnaires ; Tomography, X-Ray Computed
مستخلص: Background: Annual lung cancer screening (LCS) with low dose CT reduces lung cancer mortality. LCS is underutilized. Black people who smoke tobacco have high risk of lung cancer but are less likely to be screened than are White people. This study reports provider recommendation and patient completion of LCS and colorectal cancer screening (CRCS) among patients by race to assess for utilization of LCS.
Methods: 3000 patients (oversampled for Black patients) across two healthcare systems (in Rhode Island and Minnesota) who had a chart documented age of 55 to 80 and a smoking history were invited to participate in a survey about cancer screening. Logistic regression analysis compared the rates of recommended and received cancer screenings.
Results: 1177 participants responded (42% response rate; 45% White, 39% Black). 24% of respondents were eligible for LCS based on USPSTF 2013 criteria. One-third of patients eligible for LCS reported that a doctor had recommended screening, compared to 90% of patients reporting a doctor recommended CRCS. Of those recommended screening, 88% reported completing LCS vs. 83% who reported completion of a sigmoidoscopy/colonoscopy. Black patients were equally likely to receive LCS recommendations but less likely to complete LCS when referred compared to White patients. There was no difference in completion of CRCS between Black and White patients.
Conclusions: Primary care providers rarely recommend lung cancer screening to patients with a smoking history. Systemic changes are needed to improve provider referral for LCS and to facilitate eligible Black people to complete LCS.
(© 2024. The Author(s).)
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معلومات مُعتمدة: RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society; RSG CPHPS - 131649 American Cancer Society
فهرسة مساهمة: Keywords: Early detection of cancer; Healthcare disparities; Lung neoplasms; Risk
تواريخ الأحداث: Date Created: 20240607 Date Completed: 20240607 Latest Revision: 20240611
رمز التحديث: 20240611
مُعرف محوري في PubMed: PMC11157907
DOI: 10.1186/s12875-024-02452-y
PMID: 38849725
قاعدة البيانات: MEDLINE
الوصف
تدمد:2731-4553
DOI:10.1186/s12875-024-02452-y