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. 2022 Nov:173:94-100.
doi: 10.1016/j.lungcan.2022.09.009. Epub 2022 Sep 21.

Utilisation of primary care electronic patient records for identification and targeted invitation of individuals to a lung cancer screening programme

Jennifer L Dickson  1 , Helen Hall  1 , Carolyn Horst  1 , Sophie Tisi  1 , Priyam Verghese  1 , Sarah Worboys  2 , Andrew Perugia  3 , James Rusius  3 , Anne-Marie Mullin  4 , Jonathan Teague  4 , Laura Farrelly  4 , Vicky Bowyer  5 , Kylie Gyertson  5 , Fanta Bojang  5 , Claire Levermore  5 , Tania Anastasiadis  6 , John McCabe  1 , Anand Devaraj  7 , Arjun Nair  5 , Neal Navani  8 , Allan Hackshaw  4 , Samantha L Quaife  9 , Sam M Janes  10 ; SUMMIT consortium
Affiliations

Utilisation of primary care electronic patient records for identification and targeted invitation of individuals to a lung cancer screening programme

Jennifer L Dickson et al. Lung Cancer. 2022 Nov.

Abstract

Lung cancer screening (LCS) eligibility is largely determined by tobacco consumption. Primary care smoking data could guide LCS invitation and eligibility assessment. We present observational data from the SUMMIT Study, where individual self-reported smoking status was concordant with primary care records in 75.3%. However, 10.3% demonstrated inconsistencies between historic and most recent smoking status documentation. Quantified tobacco consumption was frequently missing, precluding direct LCS eligibility assessment. Primary care recorded "ever-smoker" status, encompassing both recent and historic documentation, can be used to target LCS invitation. Identifying those with missing or erroneous "never-smoker" smoking status is crucial for equitable invitation to LCS.

Keywords: Lung cancer; Lung cancer screening.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Identification of individuals to invite for a LHC as part of the SUMMIT Study.
See this image and copyright information in PMC

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