Abstract
Among adults ages 55 to 80 years with a history of substantial firsthand cigarette smoke exposure, lung cancer screening (LCS) with the use of annual low-dose CT (LDCT) reduces the relative risk of lung cancer death, is widely recommended, and is reimbursed by most insurance carriers.1 However, most eligible people do not receive an LDCT for screening or a shared decision-making interaction before an LDCT scan, as required by insurers.2 In particular, people from rural settings may have limited access to high-quality LCS processes compared with non-rural counterparts.
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