The impact of income and education on lung cancer screening utilization, eligibility, and outcomes: a narrative review of socioeconomic disparities in lung cancer screening.

Published on Jun 1, 2021in Journal of Thoracic Disease2.046
· DOI :10.21037/JTD-20-3281
Samuel Castro , Ernesto Sosa1
Estimated H-index: 1
+ 7 AuthorsLoretta Erhunmwunsee11
Estimated H-index: 11
#1Lovoria B Williams (UK: University of Kentucky)H-Index: 2
#2Brent J. Shelton (UK: University of Kentucky)H-Index: 38
Last. Jamie L. Studts (UK: University of Kentucky)H-Index: 33
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National lung cancer screening with low dose computed tomography (LDCT) uptake is suboptimal. One factor contributing to slow uptake is lack of awareness. Trained Community Health Workers (CHWs) may be effective in increasing lung cancer screening awareness among disparate populations, however little is known about the processes necessary to scale an intervention for implementation by CHWs in a new area. We examined implementation processes with the RE-AIM framework and pilot tested a CHW-delive...
3 CitationsSource
#1Summer S. Han (Stanford University)H-Index: 22
#2Eric K.H. Chow (Stanford University)H-Index: 3
Last. Sylvia K. Plevritis (Stanford University)H-Index: 53
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BACKGROUND: Current U.S. Preventive Services Task Force (USPSTF) lung cancer screening guidelines are based on smoking history and age (55-80 y). These guidelines may miss those at higher risk, even at lower exposures of smoking or younger ages, due to other risk factors such as race, family history or comorbidity. In this study, we characterized the demographic and clinical profiles of those selected by risk-based screening criteria but missed by USPSTF guidelines in younger (50-54 y) and older...
13 CitationsSource
Background: There are well-documented disparities in lung cancer outcomes across populations. Lung cancer screening (LCS) has the potential to reduce lung cancer mortality, but for this benefit to be realized by all high-risk groups, there must be careful attention to ensuring equitable access to this lifesaving preventive health measure.Objectives: To outline current knowledge on disparities in eligibility criteria for, access to, and implementation of LCS, and to develop an official American T...
22 CitationsSource
#1Mark M. Hammer (Harvard University)H-Index: 15
#2Suzanne C. Byrne (Brigham and Women's Hospital)H-Index: 3
Last. Chung Yin Kong (Harvard University)H-Index: 32
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Purpose To identify factors influencing the likelihood of a false positive lung cancer screening (LCS) computed tomography (CT), which may lead to increased costs and patient anxiety. Materials and Methods In this retrospective study, we examined all LCS CTs performed across our healthcare network from 2014 to 2018, recording Lung-RADS category and diagnosis of lung cancer. A false positive was defined by Lung-RADS 3-4X and no diagnosis of lung cancer within 1 year. Patient demographics and smok...
3 CitationsSource
#1Randi M. Williams (GUMC: Georgetown University Medical Center)H-Index: 13
#2Kenneth H. Beck (UMD: University of Maryland, College Park)H-Index: 31
Last. Cheryl L. Knott (UMD: University of Maryland, College Park)H-Index: 4
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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...
3 CitationsSource
#1Katrina Steiling (BU: Boston University)H-Index: 17
#2Taylor Loui (BU: Boston University)H-Index: 1
Last. Kei Suzuki (BU: Boston University)H-Index: 15
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ABSTRACT Background While lung cancer screening improves cancer-specific mortality and is recommended for high-risk patients, barriers to screening still exist. We sought to determine our institution’s screening rate, an urban safety net hospital, and to identify socioeconomic barriers to lung cancer screening. Methods We identified 8,935 smokers aged 55-80 evaluated by a primary care physician between March 2015 and March 2017 at our institution. We randomly selected one-third of these (n=2,978...
6 CitationsSource
#1Omar ToubatH-Index: 4
#2Scott M. AtayH-Index: 9
Last. Elizabeth A. DavidH-Index: 14
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Abstract Background Socioeconomic status (SES) disparities in the surgical management of patients with non-small cell lung cancer (NSCLC) are well-described. Disparities in the receipt of adjuvant chemotherapy are poorly understood. We assessed the influence of SES on adjuvant chemotherapy following resection in patients with pN1 NSCLC. Methods The National Cancer Database was queried for cN0/N1 NSCLC patients who underwent surgical resection and had demonstrated pN1 disease. This cohort was fur...
4 CitationsSource
#1Julia M. Coughlin (Rush University Medical Center)H-Index: 4
#2Yanyu Zang (Rush University Medical Center)H-Index: 1
Last. Christopher W. Seder (Rush University Medical Center)H-Index: 24
view all 13 authors...
Background Low-dose computed tomography (LDCT) scan for lung cancer screening is underutilized. Studies suggest that up to one-third of providers do not know the current lung cancer screening guidelines. Thus, identifying the barriers to utilization of LDCT scan is essential. Methods Primary care providers in three different healthcare settings in the United States were surveyed to assess provider knowledge of LDCT scan screening criteria, lung cancer screening practices, and barriers to the uti...
6 CitationsSource
#1Paola Zaninotto (UCL: University College London)H-Index: 27
#2George David Batty (UCL: University College London)H-Index: 31
Last. Jenny Head (UCL: University College London)H-Index: 47
view all 9 authors...
BACKGROUND: We examined socioeconomic inequalities in disability-free life expectancy in older men and women from England and the United States and explored whether people in England can expect to live longer and healthier lives than those in the United States. METHODS: We used harmonized data from the Gateway to Global Aging Data on 14,803 individuals aged 50+ from the U.S. Health and Retirement Study (HRS) and 10,754 from the English Longitudinal Study of Ageing (ELSA). Disability was measured...
21 CitationsSource
#1Harry J. de Koning (EUR: Erasmus University Rotterdam)H-Index: 27
#2Carlijn M. van der Aalst (EUR: Erasmus University Rotterdam)H-Index: 21
Last. Matthijs Oudkerk (EUR: Erasmus University Rotterdam)H-Index: 94
view all 24 authors...
Abstract Background There are limited data from randomized trials regarding whether volume-based, low-dose computed tomographic (CT) screening can reduce lung-cancer mortality among male former and...
513 CitationsSource
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