Access to Lung Cancer Screening Services: Preliminary Analysis of Geographic Service Distribution Using the ACR Lung Cancer Screening Registry

Journal of the American College of Radiology : JACR
Paniz CharkhchiRuth C Carlos

Abstract

Lung cancer has the highest mortality rate among all types of cancer in the United States. The National Lung Screening Trial demonstrated that low-dose CT for lung cancer screening decreases both lung cancer-related mortality and all-cause mortality. Currently, the only CMS-approved lung cancer screening registry is the Lung Cancer Screening Registry (LCSR) administered by the ACR. The aims of this study were to assess access to lung cancer screening services as estimated by the number and distribution of screening facilities participating in the LCSR, by state, and to evaluate state-level covariates that correlate with access. The ACR LCSR list of participating lung cancer screening facilities was used as a proxy for the availability of lung cancer screening facilities in each state. Additionally, we normalized the number of facilities by state by the number of screening-eligible individuals using Behavioral Risk Factor Surveillance System data. State-level demographics were obtained from the 2015 Behavioral Risk Factor Surveillance System: poverty level, insured population, unemployed, black, and Latino. State-specific lung cancer incidence and death rates, number of active physicians per 100,000, and Medicare expenditure per...Continue Reading

Citations

Feb 11, 2020·European Radiology·Yeqing ZhuClaudia I Henschke
Aug 28, 2020·Journal of Medical Screening·Justin T StowellBrent P Little
May 18, 2020·International Journal of Environmental Research and Public Health·Bian LiuEmanuela Taioli
Oct 30, 2020·Journal of Health Communication·Samantha R PaigeBabette Brumback
Aug 27, 2019·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Christopher J CadhamUNKNOWN CISNET-SCALE Collaboration
Nov 3, 2020·Journal of the American College of Radiology : JACR·Marcus J DanielsRyan W England
Mar 19, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Anja ZgodicJan M Eberth
Nov 13, 2018·Chest·Minal S KaleBian Liu

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