Abstract
The benefits of lung cancer screening (LCS) was largely proven in academic centers, and while implementation in the Veterans Health Administration has been reported, little data has been published on the broader community experience. We aimed to describe the LCS implementation experience in a multi-state, community-based healthcare network. We reviewed individuals who were referred for LCS between 01/01/2012-03/31/2017 within our community-based network of 12 LCS programs spanning 22 LCS sites in Alaska, Montana, Oregon and Washington. One of the programs is considered centralized (shared decision making, evaluation and management occur at a single site) and 11 are considered decentralized (shared decision making, evaluation and management occur in geographically diverse community care settings with support from a central LCSP coordinator). 2013 Rural-Urban Continuum Codes from the United States Department of Agriculture were used to determine metropolitan/non-metropolitan/rural status. Data collection is complete for 4,820 of the total 6,451 individuals, of which 9% (450/4,820) were excluded for being outside the age and smoking history LCS criteria range. A further 908 were excluded for other reasons. Thus, the preliminary results of 3,462 individuals are included here. Characteristics of the individuals are shown in the table. Of the 22 LCS sites 82% (18) were located in metropolitan areas, 18% (4) in non-metropolitan areas and none in rural areas. The distribution of screened individuals and LCS centers within the healthcare network are shown in the figure.View Large Image Figure ViewerDownload Hi-res image Download (PPT) Screening in the community setting remains in metropolitan areas. Positive findings on the initial scan are common; however, intervention rates are low. Retention for screening also remains high.
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call