Barriers to Lung Cancer Screening Engagement from the Patient and Provider Perspective

Area of Science:

• Oncology
• Radiology
• Public Health

Background:

• Lung cancer is the leading cause of cancer death in the U.S.
• Lung cancer screening (LCS) with low-dose CT is proven to reduce mortality in high-risk individuals.
• Insurers have covered LCS without cost-sharing since 2015, yet participation remains suboptimal.

Purpose of the Study:

• To identify and review barriers to lung cancer screening participation for both patients and referring providers.
• To inform radiologists about these challenges to facilitate multidisciplinary efforts in expanding LCS programs.
• To highlight potential solutions and ongoing interventions to overcome screening hurdles.

Main Methods:

• Literature review of existing studies on lung cancer screening barriers.
• Analysis of patient-reported difficulties in accessing LCS.
• Examination of provider-related challenges in referring patients for LCS.

Main Results:

• Key patient barriers include lack of awareness, fear, and logistical issues.
• Provider barriers involve time constraints, reimbursement concerns, and knowledge gaps.
• Multifaceted interventions are needed to address these diverse challenges.

Conclusions:

• Addressing patient and provider barriers is essential for increasing lung cancer screening rates.
• Radiologists play a vital role in multidisciplinary teams to optimize LCS program growth.
• Collaborative strategies and targeted interventions can improve LCS accessibility and impact.