Potential Racial Disparities Using Current Lung Cancer Screening Guidelines

Annangi, Srinadh; Nutalapati, Snigdha; Foreman, Marilyn G.; Pillai, Rathi N.; Flenaugh, Eric

doi:10.1007/s40615-018-0492-z

Cited by 42 publications

(41 citation statements)

References 8 publications

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“…Potential revisions to the minimum age criteria of 50 years could also be considered for African American smokers. 37 A general consensus is emerging that risk-based models outperform and are a better approach for screening compared with USPSTF criteria based on age and smoking alone. [38][39][40] Ultimately, a cost-effective and beneficial approach must be implemented to balance the risks and harms of false-positive screening results, radiation from computed tomography imaging, and overdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers

et al. 2019

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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.

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Section: Discussionmentioning

confidence: 99%

Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers

et al. 2019

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“…Detailed study characteristics are provided in Table 3. 12,[40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59] The 21 eligible studies were evaluated, and their findings were categorized into 3 overarching themes related to steps in the LCS pipeline in which racial and socioeconomic disparities are known or are likely to exist (Table 4). 12,[40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59] The disparities at each step in the pipeline negatively impact outcomes and ultimately result in disparate mortality rates (Fig.…”

Section: Resultsmentioning

confidence: 99%

Racial and socioeconomic disparities in lung cancer screening in the United States: A systematic review

Sosa

D'Souza

Akhtar

et al. 2021

CA A Cancer J Clinicians

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Nonsmall cell lung cancer (NSCLC) is the leading cause of cancer deaths. Lung cancer screening (LCS) reduces NSCLC mortality; however, a lack of diversity in LCS studies may limit the generalizability of the results to marginalized groups who face higher risk for and worse outcomes from NSCLC. Identifying sources of inequity in the LCS pipeline is essential to reduce disparities in NSCLC outcomes. The authors searched 3 major databases for studies published from January 1, 2010 to February 27, 2020 that met the following criteria: 1) included screenees between ages 45 and 80 years who were current or former smokers, 2) written in English, 3) conducted in the United States, and 4) discussed socioeconomic and race-based LCS outcomes. Eligible studies were assessed for risk of bias. Of 3721 studies screened, 21 were eligible. Eligible studies were evaluated, and their findings were categorized into 3 themes related to LCS disparities faced by Black and socioeconomically disadvantaged individuals: 1) eligibility; 2) utilization, perception, and utility; and 3) postscreening behavior and care. Disparities in LCS exist along racial and socioeconomic lines. There are several steps along the LCS pipeline in which Black and socioeconomically disadvantaged individuals miss the potential benefits of LCS, resulting in increased mortality. This study identified potential sources of inequity that require further investigation. The authors recommend the implementation of prospective trials that evaluate eligibility criteria for underserved groups and the creation of interventions focused on improving utilization and follow-up care to decrease LCS disparities.

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“…Several studies have argued that African Americans should have different criteria for LDCT screening, 18,19 such as using risk-based algorithms and lowering the age eligibility to 50 years old. 20 Our current study and previous literature suggest that targeted interventions with modified LDCT screening eligibility may be necessary to improve African Americans’ participation in screening and reduce lung cancer mortality.…”

Section: Discussionmentioning

confidence: 57%

Low-dose computed tomography lung cancer screening as a teachable moment for smoking cessation among African American smokers: A feasibility study

Sly

Miller

et al. 2018

Journal of Psychosocial Oncology

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Low-dose computed tomography (LDCT) screening may be a teachable moment for smoking cessation among African Americans. African Americans have been understudied within the context of LDCT and smoking cessation. The study objective was to evaluate the feasibility of recruiting African Americans’ to a future longitudinal trial and to obtain sample size estimates for that trial. Participants (N=18) were African Americans eligible for LDCT screening who completed a questionnaire at three time points. Self-efficacy and intention to quit smoking were compared. The results of the current study show that it is feasible to recruit African Americans’ eligible for LDCT.

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Potential Racial Disparities Using Current Lung Cancer Screening Guidelines

Abstract: We conclude that the current age threshold for lung cancer screening may potentially miss a considerable number of lung cancer cases in African Americans. Further studies are needed to determine the appropriateness of screening age criteria for African Americans.

Cited by 42 publications

References 8 publications

Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers

Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers

Racial and socioeconomic disparities in lung cancer screening in the United States: A systematic review

Low-dose computed tomography lung cancer screening as a teachable moment for smoking cessation among African American smokers: A feasibility study

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