Lung cancer screening patient–provider discussion: Where do we stand and what are the associated factors?

Abstract

Objective: The primary objective of this study was to estimate the percentage of individuals possibly eligible for lung cancer screening that report having discussed screening with a health care provider. The secondary objective was to investigate the associated factors of having patient-provider lung cancer screening discussion. Methods: Data from the Health Information National Trends Survey 2017 were used (n = 3217). Lung cancer screening eligibility was based on the criteria utilized by the Centers for Medicare and Medicaid Services. Gender, race, educational attainment, health insurance coverage, and usual source of health care were covariates. Current or former smokers ages 55-77 (n = 706) were considered potentially eligible for lung cancer screening (dependent variable). Results: Only 12.24% of individuals potentially eligible for lung cancer screening report prior discussion regarding lung cancer screening with a health care provider. Being eligible for lung cancer screening based on Centers for Medicare and Medicaid Services eligibility criteria was positively associated with the odds of a patient-provider lung cancer screening discussion (odds ratio = 3.95, 95% confidence interval = 2.48-6.30). Unlike gender, race, education, or insurance coverage, a usual source of health care was positively associated with a patient-provider screening discussion (odds ratio = 2.48, 95% confidence interval = 1.31-4.70). Conclusion: Individuals potentially eligible for lung cancer screening are more likely to have screening discussions with a health care provider. Having a usual source of health care may increase the odds of such a discussion, while patients are not discriminated based on race, gender, education, and insurance coverage. However, the relatively low rate (12.24%) of reported patient-provider lung cancer screening discussion indicates that significant barriers still remain.

Combined Effects of Race and Socioeconomic Status on Cancer Beliefs, Cognitions, and Emotions

“…Low SES individuals and Blacks are at an increased risk of cancer, compared to high SES and White individuals [20,28]. Despite their higher risk, they have less accurate cancer beliefs, lower perceived risk of cancer, and less cancer worries [56,57,70,71,72,73]. This pattern suggests that Blacks may discount their risk of cancer, possibly to minimize their cognitive dissonance, particularly because cancer results in high levels of fear in them [74,75,76,77,78].…”

“…The HINTS study series provides a nationally representative picture of Americans’ cancer related information [55]. HINTS-5, Cycle 1 data were collected between January and May 2017 [56,57,58].…”

Neutral Desorption Extractive Electrospray Ionization Mass Spectrometry Analysis Sputum for Non-Invasive Lung Adenocarcinoma Detection

“…To solve the problem of high viscosity of sputum, these emerging sputum analysis methods often require complex sample pretreatment processes and long analysis periods, those time costing shortages limited the application of these methods in the early diagnosis of lung cancer. 10 , 11 …”

“… 7 Complementary biomarkers and technical improvements are expected in the lung adenocarcinoma screening field. 10 , 11 …”

Opportunities and challenges in lung cancer screening implementation: a narrative review

“…Beyond clinicians and administration, it is paramount to include patient and community representation at the planning stages of an LCS program. This step is critical as only 58% of Veterans and 12% of non-Veteran populations have reported a prior discussion with a provider about LCS (20,21). Community outreach and marketing can help to raise awareness about LCS for both patients and clinicians (22).…”