BACKGROUND: One of the largest, most expensive randomized, controlled trials, the National Lung Screening Trial, found that annual low-dose computed tomography (LDCT) scans led to a 20% reduction in lung cancer deaths. OBJECTIVES: This study describes the characteristics and program implementation barriers experienced by LDCT screening programs in the United States. METHODS: Using a mixed-methods approach, Lung Cancer Alliance Screening Centers of Excellence were surveyed and interviewed in 2013. Representatives from 65 centers completed an electronic questionnaire, followed by in-depth interviews with 13 physicians and nurse navigators regarding their institution's screening programs. FINDINGS: Participants cited low patient demand and few physician referrals as barriers, but few centers reported needing additional staff or equipment. Those interviewed discussed the importance of a multidisciplinary team and overcoming barriers related to insurance reimbursement, costs, and physician knowledge to improve program implementation.
BACKGROUND: One of the largest, most expensive randomized, controlled trials, the National Lung Screening Trial, found that annual low-dose computed tomography (LDCT) scans led to a 20% reduction in lung cancer deaths. OBJECTIVES: This study describes the characteristics and program implementation barriers experienced by LDCT screening programs in the United States. METHODS: Using a mixed-methods approach, Lung Cancer Alliance Screening Centers of Excellence were surveyed and interviewed in 2013. Representatives from 65 centers completed an electronic questionnaire, followed by in-depth interviews with 13 physicians and nurse navigators regarding their institution's screening programs. FINDINGS:Participants cited low patient demand and few physician referrals as barriers, but few centers reported needing additional staff or equipment. Those interviewed discussed the importance of a multidisciplinary team and overcoming barriers related to insurance reimbursement, costs, and physician knowledge to improve program implementation.
Entities:
Keywords:
early detection of cancer; health services research; lung neoplasms; spiral computed tomography
Authors: Louise M Henderson; Laura M Jones; Mary W Marsh; Thad Benefield; M Patricia Rivera; Paul L Molina Journal: J Am Coll Radiol Date: 2016-10-27 Impact factor: 5.532
Authors: Dan J Raz; Geena X Wu; Martin Consunji; Rebecca A Nelson; Heeyoung Kim; Can-Lan Sun; Virginia Sun; Jae Y Kim Journal: Clin Lung Cancer Date: 2017-06-01 Impact factor: 4.785
Authors: Wiley D Jenkins; Alicia K Matthews; Angie Bailey; Whitney E Zahnd; Karriem S Watson; Georgia Mueller-Luckey; Yamile Molina; David Crumly; Julie Patera Journal: Prev Med Rep Date: 2018-03-24