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Patient-clinician discussions on lung cancer screening in the United States before and after 2021 guidelines

  • 0Department of Psychological Science, Loyola Marymount University, 1 LMU Drive, Suite 4700, Los Angeles, CA 90045, United States.
Translational Behavioral Medicine +

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August 13, 2025

|

August 13, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Lung cancer screening discussions decreased in 2022 despite expanded eligibility. Healthcare providers should prioritize lung cancer screening conversations, especially for uninsured and former smokers.

Area Of Science

  • Public Health
  • Preventive Medicine
  • Health Services Research

Background

  • Low-dose computed tomography (LDCT) for lung cancer screening aids early detection and reduces mortality.
  • Uptake of lung cancer screening has been historically low since the United States Preventive Services Task Force (USPSTF) guidelines were issued in 2013.
  • The USPSTF revised lung cancer screening guidelines in 2021, expanding eligibility criteria.

Purpose Of The Study

  • To analyze trends in patient-clinician discussions about lung cancer screening from 2017 to 2022.
  • To evaluate the impact of the 2021 USPSTF guideline revisions on lung cancer screening conversations.

Main Methods

  • Utilized data from the Health Information National Trends Survey (2017, 2020, 2022).
  • Included US adults aged 50-80 who reported current or former smoking status and no prior lung cancer history.
  • Primary outcome measured was self-reported patient-clinician discussions regarding lung cancer screening within the past 12 months.

Main Results

  • The proportion of individuals discussing lung cancer screening decreased from 13.77% in 2020 to 9.42% in 2022.
  • Odds of discussing screening were significantly lower in 2022 compared to 2020 (OR=0.58).
  • Insurance status (OR=9.12) and current smoking (OR=2.80) were associated with higher odds of screening discussions.

Conclusions

  • Patient-clinician discussions about lung cancer screening declined in 2022, contrary to the expanded eligibility from revised guidelines.
  • Further research is needed to identify strategies for increasing lung cancer screening awareness and discussion.
  • Prioritizing screening discussions for uninsured individuals and former smokers is recommended.

Keywords:

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