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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/26160294 below:

Attitudes and Beliefs of Primary Care Providers in New Mexico About Lung Cancer Screening Using Low-Dose Computed Tomography

Multicenter Study

Affiliations

• ¹ University of New Mexico School of Medicine, University of New Mexico Cancer Center, Albuquerque Veterans Affairs Medical Center, Albuquerque, New Mexico.
• ² University of New Mexico Cancer Center and Department of Family Medicine and Community Medicine, Albuquerque, New Mexico.
• ³ Department of Anthropology, University of Maryland, College Park, Maryland.
• ⁴ University of New Mexico School of Medicine and University of New Mexico Cancer Center, Albuquerque, New Mexico.
• ⁵ Georgetown Lombardi Comprehensive Cancer Center and Georgetown University Medical Center, Washington, DC.
• ⁶ Healthwise, Boise, Idaho.
• ⁷ Clinical and Translational Science Center, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
• ⁸ Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM 87131. Email: smishra@salud.unm.edu. Dr Mishra is also affiliated with the University of New Mexico Cancer Center and the Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico.

• PMID: 26160294
• PMCID: PMC4509091
• DOI: 10.5888/pcd12.150112

Item in Clipboard

Multicenter Study

Richard M Hoffman et al. Prev Chronic Dis. 2015.

• ¹ University of New Mexico School of Medicine, University of New Mexico Cancer Center, Albuquerque Veterans Affairs Medical Center, Albuquerque, New Mexico.
• ² University of New Mexico Cancer Center and Department of Family Medicine and Community Medicine, Albuquerque, New Mexico.
• ³ Department of Anthropology, University of Maryland, College Park, Maryland.
• ⁴ University of New Mexico School of Medicine and University of New Mexico Cancer Center, Albuquerque, New Mexico.
• ⁵ Georgetown Lombardi Comprehensive Cancer Center and Georgetown University Medical Center, Washington, DC.
• ⁶ Healthwise, Boise, Idaho.
• ⁷ Clinical and Translational Science Center, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
• ⁸ Department of Pediatrics, University of New Mexico School of Medicine, Albuquerque, NM 87131. Email: smishra@salud.unm.edu. Dr Mishra is also affiliated with the University of New Mexico Cancer Center and the Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico.

• PMID: 26160294
• PMCID: PMC4509091
• DOI: 10.5888/pcd12.150112

Item in Clipboard

• Erratum, Vol. 12, July 9 Release.

  [No authors listed] [No authors listed] Prev Chronic Dis. 2019 Nov 7;16:E149. doi: 10.5888/pcd16.150112e. Prev Chronic Dis. 2019. PMID: 31701870 Free PMC article.

Introduction: On the basis of results from the National Lung Screening Trial (NLST), national guidelines now recommend using low-dose computed tomography (LDCT) to screen high-risk smokers for lung cancer. Our study objective was to characterize the knowledge, attitudes, and beliefs of primary care providers about implementing LDCT screening.

Methods: We conducted semistructured interviews with primary care providers practicing in New Mexico clinics for underserved minority populations. The interviews, conducted from February through September 2014, focused on providers' tobacco cessation efforts, lung cancer screening practices, perceptions of NLST and screening guidelines, and attitudes about informed decision making for cancer screening. Investigators iteratively reviewed transcripts to create a coding structure.

Results: We reached thematic saturation after interviewing 10 providers practicing in 6 urban and 4 rural settings; 8 practiced at federally qualified health centers. All 10 providers promoted smoking cessation, some screened with chest x-rays, and none screened with LDCT. Not all were aware of NLST results or current guideline recommendations. Providers viewed study results skeptically, particularly the 95% false-positive rate, the need to screen 320 patients to prevent 1 lung cancer death, and the small proportion of minority participants. Providers were uncertain whether New Mexico had the necessary infrastructure to support high-quality screening, and worried about access barriers and financial burdens for rural, underinsured populations. Providers noted the complexity of discussing benefits and harms of screening and surveillance with their patient population.

Conclusion: Providers have several concerns about the feasibility and appropriateness of implementing LDCT screening. Effective lung cancer screening programs will need to educate providers and patients to support informed decision making and to ensure that high-quality screening can be efficiently delivered in community practice.

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• Patient Perspectives on Low-Dose Computed Tomography for Lung Cancer Screening, New Mexico, 2014.

  Mishra SI, Sussman AL, Murrietta AM, Getrich CM, Rhyne R, Crowell RE, Taylor KL, Reifler EJ, Wescott PH, Saeed AI, Hoffman RM. Mishra SI, et al. Prev Chronic Dis. 2016 Aug 18;13:E108. doi: 10.5888/pcd13.160093. Prev Chronic Dis. 2016. PMID: 27536900 Free PMC article.

• Primary Care Provider and Patient Perspectives on Lung Cancer Screening. A Qualitative Study.

  Kanodra NM, Pope C, Halbert CH, Silvestri GA, Rice LJ, Tanner NT. Kanodra NM, et al. Ann Am Thorac Soc. 2016 Nov;13(11):1977-1982. doi: 10.1513/AnnalsATS.201604-286OC. Ann Am Thorac Soc. 2016. PMID: 27676369

• Low-Dose CT Lung Cancer Screening Practices and Attitudes among Primary Care Providers at an Academic Medical Center.

  Lewis JA, Petty WJ, Tooze JA, Miller DP, Chiles C, Miller AA, Bellinger C, Weaver KE. Lewis JA, et al. Cancer Epidemiol Biomarkers Prev. 2015 Apr;24(4):664-70. doi: 10.1158/1055-9965.EPI-14-1241. Epub 2015 Jan 22. Cancer Epidemiol Biomarkers Prev. 2015. PMID: 25613118 Free PMC article.

• Implementing lung cancer screening: the US experience.

  Aberle DR. Aberle DR. Clin Radiol. 2017 May;72(5):401-406. doi: 10.1016/j.crad.2016.12.003. Epub 2017 Jan 6. Clin Radiol. 2017. PMID: 28069160 Review.

• Smoking cessation interventions within the context of Low-Dose Computed Tomography lung cancer screening: A systematic review.

  Piñeiro B, Simmons VN, Palmer AM, Correa JB, Brandon TH. Piñeiro B, et al. Lung Cancer. 2016 Aug;98:91-98. doi: 10.1016/j.lungcan.2016.05.028. Epub 2016 Jun 1. Lung Cancer. 2016. PMID: 27393513 Review.

• A narrative review of lung cancer screening in underserved populations.

  Toubat O, David EA. Toubat O, et al. Curr Chall Thorac Surg. 2023;5:6. doi: 10.21037/ccts-20-173. Epub 2023 Feb 25. Curr Chall Thorac Surg. 2023. PMID: 37064329 Free PMC article.

• Barriers to Low-Dose CT Lung Cancer Screening among Middle-Aged Chinese.

  Jia Q, Chen H, Chen X, Tang Q. Jia Q, et al. Int J Environ Res Public Health. 2020 Sep 28;17(19):7107. doi: 10.3390/ijerph17197107. Int J Environ Res Public Health. 2020. PMID: 32998298 Free PMC article.

• Provider and patient perspectives to improve lung cancer screening with low-dose computed tomography 5 years after Medicare coverage: a qualitative study.

  Martinez MC, Stults CD, Li J. Martinez MC, et al. BMC Prim Care. 2022 Dec 20;23(1):332. doi: 10.1186/s12875-022-01925-2. BMC Prim Care. 2022. PMID: 36539693 Free PMC article.

• Attitudes of Clinicians about Screening Head and Neck Cancer Survivors for Lung Cancer Using Low-Dose Computed Tomography.

  Dukes K, Seaman AT, Hoffman RM, Christensen AJ, Kendell N, Sussman AL, Vélez-Bermúdez M, Volk RJ, Pagedar NA. Dukes K, et al. Ann Otol Rhinol Laryngol. 2020 Jan;129(1):23-31. doi: 10.1177/0003489419868245. Epub 2019 Aug 13. Ann Otol Rhinol Laryngol. 2020. PMID: 31409114 Free PMC article.

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