Lung Cancer Screening Program Quality Indicators-Review and Recommendations: An International Association for the Study of Lung Cancer Delphi Process Study

  • 0Brock University, St. Catharines, Ontario, Canada.

Summary

This summary is machine-generated.

Lung cancer screening quality indicators (QIs) were developed by experts to improve program quality and participant outcomes. These consensus-based QIs cover screening, diagnosis, treatment, and equity for high-risk individuals.

Area Of Science

  • Pulmonology
  • Radiology
  • Public Health
  • Oncology

Background

  • Low-dose computed tomography (LDCT) for lung cancer screening (LCS) reduces mortality in high-risk populations.
  • Evaluating and monitoring LCS programs is crucial for quality, efficiency, and patient outcomes.
  • A lack of consensus on quality indicators (QIs) hinders effective LCS program evaluation.

Purpose Of The Study

  • To develop a consensus set of quality indicators (QIs) for lung cancer screening (LCS) programs.
  • To establish standardized metrics for evaluating LCS quality, efficiency, and participant outcomes.
  • To provide a framework for the development and improvement of LCS initiatives.

Main Methods

  • A Delphi process involving twenty multidisciplinary experts from the International Association for the Study of Lung Cancer.
  • Consideration of 50 potential QIs through information/discussion sessions and two anonymous voting rounds.
  • Consensus defined as 80% or more agreement (agree or strongly agree) on a five-point Likert scale.

Main Results

  • Twenty essential and six desirable QIs were identified across 10 of 11 LCS pathway domains.
  • Key domains include screening entry, smoking cessation, imaging, adherence, diagnosis, outcomes, harms, treatment, wait times, and equity.
  • Specific QIs address screening eligibility, intervention offers, diagnostic assessments, adherence rates, detection rates, stage distribution, complications, treatment intent, wait times, and health equity.

Conclusions

  • A consensus set of recommended LCS QIs has been established by expert review.
  • These QIs provide a foundation for developing and enhancing lung cancer screening programs.
  • Implementation of these QIs is advised to ensure and improve the quality of LCS initiatives.

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