Planning and Implementation of Low-Dose Computed Tomography Lung Cancer Screening Programs in the United States

Clinical Journal of Oncology Nursing
Rebecca QiuJan M Eberth

Abstract

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. This study describes the characteristics and program implementation barriers experienced by LDCT screening programs in the United States. 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. 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.

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Citations

Jul 19, 2017·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·David E DaweMahmoud Torabi
Feb 20, 2019·Bulletin du cancer·Gaëlle Coureau, Fleur Delva
Dec 11, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Alice YanJeff Whittle
Jun 6, 2018·Preventive Medicine Reports·Wiley D JenkinsJulie Patera

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