Lung cancer screening decisional needs among African American smokers of lower socioeconomic status

Published on Jun 5, 2020in Ethnicity & Health2.772
· DOI :10.1080/13557858.2020.1771681
Randi M. Williams12
Estimated H-index: 12
(GUMC: Georgetown University Medical Center),
Kenneth H. Beck31
Estimated H-index: 31
(UMD: University of Maryland, College Park)
+ 4 AuthorsCheryl L. Knott8
Estimated H-index: 8
(UMD: University of Maryland, College Park)
Sources
Abstract
Objectives: Adherence to most evidence-based cancer screenings is lower among African Americans due to system- and individual-level factors that contribute to persistent disparities. Given the reco...
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#1Robert J. Volk (University of Texas MD Anderson Cancer Center)H-Index: 58
#2Lisa M. Lowenstein (University of Texas MD Anderson Cancer Center)H-Index: 15
Last. Therese B. Bevers (University of Texas MD Anderson Cancer Center)H-Index: 26
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Importance Lung cancer screening with low-dose computed tomography lowers lung cancer mortality but has potential harms. Current guidelines support patients receiving information about the benefits and harms of lung cancer screening during decision-making. Objective To examine the effect of a patient decision aid (PDA) about lung cancer screening compared with a standard educational material (EDU) on decision-making outcomes among smokers. Design, Setting, and Participants This randomized clinic...
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#1Melinda C. Aldrich (VUMC: Vanderbilt University Medical Center)H-Index: 34
#2Sarah F Mercaldo (Harvard University)H-Index: 9
Last. Jeffrey D. Blume (VUMC: Vanderbilt University Medical Center)H-Index: 33
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Importance The United States Preventive Services Task Force (USPSTF) recommends low-dose computed tomography screening for lung cancer. However, USPSTF screening guidelines were derived from a study population including only 4% African American smokers, and racial differences in smoking patterns were not considered. Objective To evaluate the diagnostic accuracy of USPSTF lung cancer screening eligibility criteria in a predominantly African American and low-income cohort. Design, Setting, and Par...
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#1Whitney E. Zahnd (USC: University of South Carolina)H-Index: 18
#2Jan M. Eberth (USC: University of South Carolina)H-Index: 21
Introduction Lung cancer is the leading cause of cancer-related death in the U.S. The National Lung Screening Trial found that low-dose computed tomography reduced lung cancer mortality in high-risk individuals. As a result, the U.S. Preventive Services Task Force began recommending low-dose computed tomography screening for those at a high risk in 2013. Therefore, it is imperative to continually monitor lung cancer screening uptake. The objective of this study was to determine computed tomograp...
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Abstract Lung cancer screening is just starting to be implemented across the United States. Challenges to screening include access to care, awareness of the option for screening, stigma and implicit bias that are due to stigmatization of smoking, stigma of race, nihilism with lung cancer diagnosis viewed as a “death sentence,” shared decision making, and underestimation of lung cancer risk. African Americans (AA) have the highest lung cancer mortality rate in the United States despite similar sm...
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#1Jennifer Richmond (UNC: University of North Carolina at Chapel Hill)H-Index: 7
#2Olive Mbah (UNC: University of North Carolina at Chapel Hill)H-Index: 7
Last. M. Manning (Cone Health)H-Index: 5
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#1Mary Pasquinelli (UIC: University of Illinois at Chicago)H-Index: 6
#2Kevin L. Kovitz (UIC: University of Illinois at Chicago)H-Index: 15
Last. Lawrence Eric Feldman (UIC: University of Illinois at Chicago)H-Index: 12
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This population-based study assesses demographic characteristics, CT scan findings, and lung cancer detection in minority populations compared with outcomes from the National Lung Screening Trial.
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#1Ahmedin Jemal (ACS: American Cancer Society)H-Index: 139
#2Stacey A. Fedewa (ACS: American Cancer Society)H-Index: 46
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#1Lisa Carter-Harris (IUPUI: Indiana University – Purdue University Indianapolis)H-Index: 16
#2Michael K. Gould (KP: Kaiser Permanente)H-Index: 68
The U.S. Preventive Services Task Force recommends lung cancer screening with low-dose computed tomography for long-term current and former smokers. However, lung cancer screening and its implementation are a complex issue. Screening has associated risks and potential harms that complicate the decision to screen for the patient, add to the already time-constrained clinical encounter for the provider, and present logistical and sociopolitical challenges in creating and implementing lung cancer sc...
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#1Duy K. Duong (Stanford University)H-Index: 2
#2Salma Shariff-Marco (Stanford University)H-Index: 22
Last. Viswam S. Nair (Stanford University)H-Index: 18
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Abstract Low dose CT (LDCT) for lung cancer screening is an evidence-based, guideline recommended, and Medicare approved test but uptake requires further study. We therefore conducted patient and provider surveys to elucidate factors associated with utilization. Patients referred for LDCT at an academic medical center were questioned about their attitudes, knowledge, and beliefs on lung cancer screening. Adherent patients were defined as those who met screening eligibility criteria and completed...
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#1Kevin Fiscella (UR: University of Rochester)H-Index: 79
#2Mechelle SandersH-Index: 14
The annual National Healthcare Quality and Disparities Reports document widespread and persistent racial and ethnic disparities. These disparities result from complex interactions between patient factors related to social disadvantage, clinicians, and organizational and health care system factors. Separate and unequal systems of health care between states, between health care systems, and between clinicians constrain the resources that are available to meet the needs of disadvantaged groups, con...
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#2Joseph D. Phillips (Dartmouth–Hitchcock Medical Center)H-Index: 10
Abstract Background Rural populations face many health disadvantages including higher rates of tobacco use and lung cancer than more populated areas. Given this, we specifically sought to understand the current screening landscape in a cohort of patients with resected lung cancer to help direct improvements in the screening process. Materials and methods We retrospectively reviewed our prospective database at a rural, quaternary, academic institution from January 2015 to June 2018. All patients ...
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#1Omar ToubatH-Index: 5
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