Revisiting the lung cancer screening eligibility criteria to promote equity for Black individuals
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View abstract on PubMed
Summary
This summary is machine-generated.New lung cancer screening (LCS) criteria for Black individuals, lowering age and smoking history requirements, could improve equitable screening rates. This aims to reduce disparities in lung cancer detection between Black and White populations.
Area Of Science
- Public Health
- Medical Screening
- Health Disparities
Background
- Low-dose computed tomography (LDCT) screening reduces lung cancer mortality by 20% in high-risk individuals.
- Blacks are less likely than Whites to meet current lung cancer screening (LCS) eligibility criteria.
- Existing guidelines do not adequately address racial disparities in LCS access.
Purpose Of The Study
- To assess racial disparities in LCS eligibility.
- To propose tailored LCS eligibility criteria for Black individuals to achieve equitable screening rates compared to White individuals.
Main Methods
- Utilized data from the Behavioral Risk Factor Surveillance System (2017-2021) with 101,552 subjects.
- Systematically identified cut-off points for age and smoking pack-years for Black individuals to match White eligibility rates.
- Retained 2021 United States Preventive Services Task Force (USPSTF) criteria for White individuals.
Main Results
- Tailored criteria for Black individuals involved a minimum age of 43 years and 15 pack-years of smoking.
- Under these tailored criteria, Black individuals had equivalent odds of LCS eligibility as White individuals (OR: 1.00; 95% CI: 0.88-1.14).
- No significant differences in eligibility were observed between Black men/women and their White counterparts using the tailored criteria.
Conclusions
- Tailored LCS eligibility criteria for Black individuals effectively eliminate racial disparities in screening access.
- These proposed criteria warrant further investigation for their sensitivity and specificity in clinical practice.
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