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. 2017 Nov:1:1-6.
doi: 10.1200/CCI.17.00033.

Randomized Electronic Promotion of Lung Cancer Screening: A Pilot

Abbie L Begnaud  1 , Anne M Joseph  1 , Bruce R Lindgren  1
Affiliations

Randomized Electronic Promotion of Lung Cancer Screening: A Pilot

Abbie L Begnaud et al. JCO Clin Cancer Inform. 2017 Nov.

Abstract

Purpose: Screening for lung cancer with low-dose computed tomography is endorsed by the US Preventive Services Task Force, but many eligible patients have yet to be offered screening. Major barriers to the implementation of screening are physician and system related-the requirement for a detailed smoking history, including pack-years, to determine eligibility. We conducted this pilot to determine the feasibility of lung cancer screening (LCS) promotion that would offer screening to eligible persons and patient completion of smoking history to estimate the size of the population of former smokers who may be eligible for LCS in a single health care system.

Patients and methods: Two hundred participants were randomly selected from former smokers who were seen at the University of Minnesota Health in the past 2 years and assigned to control (usual care) and electronic promotion, stratified by age. Electronic messages to promote LCS were sent to an intervention group, including a link to complete a detailed smoking history in the electronic health record.

Results: Of 99 participants, 66 (67%) in the intervention group read the message, 24 (36%) of 66 responded, and 19 (79%) of 24 respondents completed the smoking history. Ten intervention participants and 13 usual care participants were eligible for screening on the basis of pack-year history. Four eligible participants underwent screening in the intervention group compared with one participant in the usual care group.

Conclusion: Electronic promotion may help identify patients who are eligible for LCS but will not reliably reach all patients because of low response rates. In this sample of former smokers, the majority are ineligible for LCS on the basis of pack-year history. Electronic methods can improve documentation of smoking history.

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Conflict of interest statement

Abbie L. Begnaud

Consulting or Advisory Role: Medtronic, Covidien

Anne M. Joseph

No relationship to disclose

Bruce R. Lindgren

No relationship to disclose

Figures

Fig 1.
Fig 1.
CONSORT diagram. LCS, lung cancer screening.
See this image and copyright information in PMC

References

    1. Shumaker SA, Schron EB, Ockene JK, et al. (eds): The Handbook of Health Behavior Change ed 2New York, NY: Springer Publishing; 2004
    1. Chen LH, Quinn V, Xu L, et al. : The accuracy and trends of smoking history documentation in electronic medical records in a large managed care organization. Subst Use Misuse 48:731-742, 2013 - PubMed
    1. Wu YC, Perkovich MT, Woldemichael KM, et al. : Electronic medical record smoking history does not accurately identify candidates for lung cancer screening—Disproportionately affecting vulnerable and high-risk populations. Am J Respir Crit Care Med 193:A1092, 2016
    1. Ostroff JS, Copeland A, Borderud SP, et al. : Readiness of lung cancer screening sites to deliver smoking cessation treatment: Current practices, organizational priority, and perceived barriers. Nicotine Tob Res 18:1067-1075, 2016 - PMC - PubMed
    1. Modin HE, Fathi JT, Gilbert CR, et al. : Pack-year cigarette smoking history for determination of lung cancer screening eligibility: Comparison of the electronic medical record versus a shared decision making conversation. Ann Am Thorac Soc [epub ahead of print on April 13, 2017]https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&li... - PubMed

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