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Showing content from https://pubmed.ncbi.nlm.nih.gov/36973046/ below:

Proactive Recruitment Strategy for Patient Identification for Lung Cancer Screening

Affiliations

• ¹ Division of Cardiothoracic Surgery, Department of Surgery, Southern Illinois School of Medicine, Springfield, Illinois.
• ² Center for Clinical Research, Illinois University School of Medicine, Springfield, Illinois.
• ³ Department of Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, Illinois.
• ⁴ Department of Pulmonology, Southern Illinois University School of Medicine, Springfield, Illinois.
• ⁵ Division of Cardiothoracic Surgery, Department of Surgery, Southern Illinois School of Medicine, Springfield, Illinois tcrabtree53@siumed.edu.

• PMID: 36973046
• PMCID: PMC10042567
• DOI: 10.1370/afm.2905

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Sowmyanarayanan Thuppal et al. Ann Fam Med. 2023 Mar-Apr.

• ¹ Division of Cardiothoracic Surgery, Department of Surgery, Southern Illinois School of Medicine, Springfield, Illinois.
• ² Center for Clinical Research, Illinois University School of Medicine, Springfield, Illinois.
• ³ Department of Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, Illinois.
• ⁴ Department of Pulmonology, Southern Illinois University School of Medicine, Springfield, Illinois.
• ⁵ Division of Cardiothoracic Surgery, Department of Surgery, Southern Illinois School of Medicine, Springfield, Illinois tcrabtree53@siumed.edu.

• PMID: 36973046
• PMCID: PMC10042567
• DOI: 10.1370/afm.2905

Item in Clipboard

Purpose: We assessed low-dose computed tomography (LDCT) screening for lung cancer using a proactive patient education/recruitment program.

Methods: We identified patients aged 55-80 years from a family medicine group. In the retrospective phase (March-August, 2019), patients were categorized as current/former/never smokers, and screening eligibility was determined. Patients who underwent LDCT in the past year, along with outcomes, were documented. In the prospective phase (2020), patients in the same cohort who did not undergo LDCT were proactively contacted by a nurse navigator to discuss eligibility and prescreening. Eligible and willing patients were referred to their primary care physician.

Results: In the retrospective phase, of 451 current/former smokers, 184 (40.8%) were eligible for LDCT, 104 (23.1%) were ineligible, and 163 (36.1%) had an incomplete smoking history. Of those eligible, 34 (18.5%) had LDCT ordered. In the prospective phase, 189 (41.9%) were eligible for LDCT (150 [79.4%] of whom had no prior LDCT or diagnostic CT), 106 (23.5%) were ineligible, and 156 (34.6%) had an incomplete smoking history. The nurse navigator identified an additional 56/451 (12.4%) patients as eligible after contacting patients with incomplete smoking history. In total, 206 patients (45.7%) were eligible, an increase of 37.3% compared with the retrospective phase (150). Of these, 122 (59.2%) verbally agreed to screening, 94 (45.6%) met with their physician, and 42 (20.4%) were prescribed LDCT.

Conclusions: A proactive education/recruitment model increased eligible patients for LDCT by 37.3%. Proactive identification/education of patients desiring to pursue LDCT was 59.2%. It is essential to identify strategies that will increase and deliver LDCT screening among eligible and willing patients.

Keywords: low-dose computed tomography; lung cancer screening; nurse navigator; patient identification.

© 2023 Annals of Family Medicine, Inc.

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Retrospective assessment of patients for…

Retrospective assessment of patients for LDCT screening. LDCT = low-dose computed tomography.

Retrospective assessment of patients for LDCT screening. LDCT = low-dose computed tomography.

Prospective proactive patient identification/education guided…

Prospective proactive patient identification/education guided by nurse navigator for LDCT screening. COVID-19 =…

Prospective proactive patient identification/education guided by nurse navigator for LDCT screening. COVID-19 = coronavirus disease 2019; CT = computed tomography; LDCT = low-dose computed tomography; PCP = primary care physician.

Prospective proactive patient identification/education guided…

Prospective proactive patient identification/education guided by nurse navigator for LDCT screening. COVID-19 =…

Prospective proactive patient identification/education guided by nurse navigator for LDCT screening. COVID-19 = coronavirus disease 2019; CT = computed tomography; LDCT = low-dose computed tomography; PCP = primary care physician.

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