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Implementation and Uptake of Rural Lung Cancer Screening.

Tri Le1, Stacie Miller2, Emily Berry3

  • 1Department of Internal Medicine (Hematology-Oncology), University of Texas Southwestern Medical Center, Dallas, Texas.

Journal of the American College of Radiology : JACR
|February 10, 2022
PubMed
Summary
This summary is machine-generated.

Lung cancer screening using low-dose CT (LDCT) is feasible in rural areas. A community-based program demonstrated successful implementation, uptake, and completion, overcoming common barriers for at-risk populations.

Keywords:
CTCommunitynavigationstakeholdertobacco

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Area of Science:

  • Public Health
  • Radiology
  • Rural Health

Background:

  • Rural populations exhibit higher tobacco use and lung cancer mortality.
  • Barriers to lung cancer screening in rural settings include limited facilities, distance, socioeconomic factors, and patient engagement.

Purpose of the Study:

  • To assess the feasibility of implementing a community-based lung cancer screening program in rural North Texas.
  • To evaluate the uptake and completion rates of low-dose CT (LDCT) screening in this population.

Main Methods:

  • A collaborative, community-based lung cancer screening program was developed and implemented across 18 rural North Texas counties.
  • The program incorporated telephone-based navigation and tobacco cessation support.
  • Data on LDCT referrals, orders, and completion were collected.

Main Results:

  • In the first year, 570 patients were referred, with 86% eligible for LDCT.
  • 88% of ordered LDCTs were completed, demonstrating good uptake and adherence.
  • The program cost was $430 per patient, with 61% of screened patients being current smokers.

Conclusions:

  • Implementing and completing LDCT-based lung cancer screening is achievable in rural environments.
  • Community outreach, health promotion, and navigation are key to supporting rural screening efforts.
  • Similar programs could significantly impact lung cancer outcomes in other rural regions.