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Updated: Sep 11, 2025

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Achieving Equitable Care for Racial Minority Patients With a Lung Cancer Screening Program.

Azante Griffith1, Catherine G Pratt1, Jenna N Whitrock1

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This summary is machine-generated.

Lung cancer screening via low-dose CT (LDCT) improved access and provided equitable care for racial minorities. Structured screening programs ensure timely diagnosis and treatment, leading to better outcomes for all patients.

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Area of Science:

  • Oncology
  • Public Health
  • Health Disparities

Background:

  • Racial minority lung cancer patients often face advanced stage at diagnosis, lower resection rates, and worse survival.
  • Lung cancer screening (LDCT) can reduce mortality, but its impact on racial disparities in access is unclear.
  • This study investigated the effect of LDCT on diagnosis and treatment timeliness for minority populations.

Purpose of the Study:

  • To evaluate the impact of a structured low-dose computed tomography (LDCT) screening program on lung cancer diagnosis and treatment for racial minority patients.
  • To assess racial disparities in access to lung cancer screening and subsequent care.
  • To compare outcomes of Black patients undergoing LDCT with White patients and city/state averages.

Main Methods:

  • A cohort study enrolled 2,552 patients undergoing LDCT at an urban academic center between November 2012 and February 2019.
  • Demographic, cancer-specific, and treatment-specific factors were analyzed.
  • Subgroup analyses were performed by race and sex, comparing findings to metropolitan and state averages.

Main Results:

  • Higher LDCT screening rates were observed for Black men and women compared to the general metropolitan population.
  • Lung cancer incidence and stage at diagnosis were similar between Black and White patients.
  • Black patients experienced no significant delays in care and had equitable surgical resection rates compared to White patients.

Conclusions:

  • A structured LDCT program effectively increased screening access for racial minorities.
  • Equitable diagnosis and timely treatment were achieved, highlighting the importance of optimized screening for reducing disparities.
  • These findings underscore the potential of structured screening to ensure equitable outcomes in lung cancer care for all populations.