Patient Adherence in an Academic Medical Center's Low-dose Computed Tomography Screening Program.
Keith D Mortman1, Joseph Devlin1, Brian Giang2
1Department of Surgery, Division of Thoracic Surgery, The George Washington University Hospital.
American Journal of Clinical Oncology
|April 2, 2021
Summary
Low-dose computed tomography (LDCT) screening adherence was suboptimal at 59.1%. Factors like race and socioeconomic status may impact compliance with lung cancer screening guidelines.
Area of Science:
- Pulmonology
- Radiology
- Oncology
Background:
- Low-dose computed tomography (LDCT) is crucial for reducing lung cancer mortality.
- Compliance with standard LDCT screening guidelines is essential for effective lung cancer prevention.
Purpose of the Study:
- To evaluate a single center's experience with LDCT screening.
- To identify barriers affecting adherence to LDCT screening guidelines.
Main Methods:
- Retrospective review of LDCT screening data from 2015-2019.
- Analysis of adherence based on recommended follow-up scan timelines.
- Comparison of demographic factors between adherent and non-adherent patient cohorts.
Main Results:
- Overall adherence rate for LDCT was 59.1% in 121 eligible patients.
- Patients with Lung-RADS score 2 showed higher adherence than those with score 1 (OR=2.43).
- African American patients had lower adherence odds (OR=0.58), and non-DC zip codes showed higher adherence odds (OR=1.57).
Conclusions:
- Adherence to LDCT lung cancer screening guidelines was suboptimal despite a multidisciplinary program.
- Socioeconomic disparities and race may negatively influence adherence.
- Patients with concerning initial LDCT findings demonstrated higher adherence rates.
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