Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/34513780/ below:

Examination of the Association Between Access to Care and Lung Cancer Screening Among High-Risk Smokers

Affiliations

• ¹ Department of Health Systems Management, Rush University, Chicago, IL, United States.
• ² Department of Population Health Nursing Science, The University of Illinois at Chicago, Chicago, IL, United States.
• ³ Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, New Orleans, LA, United States.
• ⁴ Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States.
• ⁵ Department of RUMG Administration, Rush University Medical Center, Chicago, IL, United States.

• PMID: 34513780
• PMCID: PMC8424050
• DOI: 10.3389/fpubh.2021.684558

Item in Clipboard

Chien-Ching Li et al. Front Public Health. 2021.

• ¹ Department of Health Systems Management, Rush University, Chicago, IL, United States.
• ² Department of Population Health Nursing Science, The University of Illinois at Chicago, Chicago, IL, United States.
• ³ Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, New Orleans, LA, United States.
• ⁴ Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States.
• ⁵ Department of RUMG Administration, Rush University Medical Center, Chicago, IL, United States.

• PMID: 34513780
• PMCID: PMC8424050
• DOI: 10.3389/fpubh.2021.684558

Item in Clipboard

Objective: The purpose of this study was to examine the influence of access to care on the uptake of low-dose computed tomography (LDCT) lung cancer screening among a diverse sample of screening-eligible patients. Methods: We utilized a cross-sectional study design. Our sample included patients evaluated for lung cancer screening at a large academic medical center (AMC) between 2015 and 2017 who met 2013 USPSTF guidelines for LDCT screening eligibility. The completion of LDCT screening (yes, no) was the primary dependent variable. The independent variable was access to care (insurance type, living within the AMC service area). We utilized binary logistic regression analyses to examine the influence of access to care on screening completion after adjusting for demographic factors (age, sex, race) and smoking history (current smoking status, smoking pack-year history). Results: A total of 1,355 individuals met LDCT eligibility criteria, and of those, 29.8% (n = 404) completed screening. Regression analysis results showed individuals with Medicaid insurance (OR, 1.51; 95% CI, 1.03-2.22), individuals living within the AMC service area (OR, 1.71; 95% CI, 1.21-2.40), and those aged 65-74 years (OR, 1.49; 95% CI, 1.12-1.98) had higher odds of receiving LDCT lung cancer screening. Lower odds of screening were associated with having Medicare insurance (OR, 0.30; 95% CI, 0.22-0.41) and out-of-pocket (OR, 0.27; 95% CI, 0.15-0.47). Conclusion: Access to care was independently associated with lowered screening rates. Study results are consistent with prior research identifying the importance of access factors on uptake of cancer early detection screening behaviors.

Keywords: access to care; low-dose computed tomography; lung cancer screening; racial disparities; social determinants of health.

Copyright © 2021 Li, Matthews, Kao, Lin, Bahhur and Dowling.

PubMed Disclaimer

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Study sample flow chart.

Study sample flow chart.

Study sample flow chart.

• Does the revised LDCT lung cancer screening guideline bridge the racial disparities gap: Results from the health and retirement study.

  Li CC, Manella J, Kefi SE, Matthews AK. Li CC, et al. J Natl Med Assoc. 2024 Apr;116(2 Pt 1):180-188. doi: 10.1016/j.jnma.2024.01.008. Epub 2024 Jan 20. J Natl Med Assoc. 2024. PMID: 38245469

• Examination of Chronic Smoking Behavior and Eligibility for Low-Dose Computed Tomography for Lung Cancer Screening Among Older Chinese Male Smokers.

  Li CC, Matthews AK, Dong X. Li CC, et al. J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S22-S25. doi: 10.1093/gerona/glw202. J Gerontol A Biol Sci Med Sci. 2017. PMID: 28575258

• Racial disparities in eligibility for low-dose computed tomography lung cancer screening among older adults with a history of smoking.

  Li CC, Matthews AK, Rywant MM, Hallgren E, Shah RC. Li CC, et al. Cancer Causes Control. 2019 Mar;30(3):235-240. doi: 10.1007/s10552-018-1092-2. Epub 2018 Oct 30. Cancer Causes Control. 2019. PMID: 30377905

• Smoking behaviors among patients receiving computed tomography for lung cancer screening. Systematic review in support of the U.S. preventive services task force.

  Slatore CG, Baumann C, Pappas M, Humphrey LL. Slatore CG, et al. Ann Am Thorac Soc. 2014 May;11(4):619-27. doi: 10.1513/AnnalsATS.201312-460OC. Ann Am Thorac Soc. 2014. PMID: 24701999 Review.

• Pairing smoking-cessation services with lung cancer screening: A clinical guideline from the Association for the Treatment of Tobacco Use and Dependence and the Society for Research on Nicotine and Tobacco.

  Fucito LM, Czabafy S, Hendricks PS, Kotsen C, Richardson D, Toll BA; Association for the Treatment of Tobacco Use and Dependence/Society for Research on Nicotine and Tobacco Synergy Committee. Fucito LM, et al. Cancer. 2016 Apr 15;122(8):1150-9. doi: 10.1002/cncr.29926. Epub 2016 Feb 24. Cancer. 2016. PMID: 26916412 Free PMC article. Review.

• Percentage Up to Date With Chest Computed Tomography Among Those Eligible for Lung Cancer Screening.

  Burnett-Hartman AN, Carroll NM, Croswell JM, Greenlee RT, Honda SA, Neslund-Dudas CM, Kim RY, Rendle KA, Vachani A, Ritzwoller DP. Burnett-Hartman AN, et al. Am J Prev Med. 2023 Jul;65(1):126-130. doi: 10.1016/j.amepre.2023.01.002. Epub 2023 Jan 25. Am J Prev Med. 2023. PMID: 36707314 Free PMC article.

• Access to Care Limits Lung Cancer Screening Eligibility in an Urban Safety Net Hospital.

  Dollar KR, Neutel BS, Hsia DW. Dollar KR, et al. J Prim Care Community Health. 2022 Jan-Dec;13:21501319221128701. doi: 10.1177/21501319221128701. J Prim Care Community Health. 2022. PMID: 36200665 Free PMC article.

• Cancer Screening Test Use-U.S., 2019.

  Sabatino SA, Thompson TD, White MC, Shapiro JA, Clarke TC, Croswell JM, Richardson LC. Sabatino SA, et al. Am J Prev Med. 2022 Sep;63(3):431-439. doi: 10.1016/j.amepre.2022.02.018. Epub 2022 Apr 22. Am J Prev Med. 2022. PMID: 35469700 Free PMC article.

1. 1. US Department of Health Human Services . The Health Consequences of Smoking-50 Years of Progress. A Report of the Surgeon General. (2014).
2. 1. Siegel R, Miller K, Jemal A. American Cancer Society: Cancer Facts and Figures. (2016). Atlanta, GA: American Cancer Society: (2016).
3. 1. The American Cancer Society . About Lung Cancer: Key Statistics for Lung Cancer. (2020). Available from: https://www.cancer.org/cancer/lung-cancer/about/key-statistics.html (accessed December 24, 2020).
4. 1. Howlader N, Noone A, Krapcho Me, Miller D, Brest A, Yu M, et al. . SEER Cancer Statistics Review, 1975-2016.. Bethesda, MD: National Cancer Institute. (2019).
5. 1. National Lung Screening Trial Research Team . Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. (2011). 365:395–409. 10.1056/NEJMoa1102873 - DOI - PMC - PubMed

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.3