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J Cancer Educ. 2019 Mar 9. doi: 10.1007/s13187-019-01510-9. [Epub ahead of print]

Occurrence of Discussion about Lung Cancer Screening Between Patients and Healthcare Providers in the USA, 2017.

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Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Dartmouth College, Dartmouth Institute for Health Policy & Clinical Practice, Hanover, One Medical Center Drive, Lebanon, NH, 03756, USA.
Warren Alpert Medical School, Brown University, Providence, RI, USA.
Thoracic Oncology Research Group and Division of Pulmonary Critical Care Medicine, Medical University of South Carolina, Chapel Hill, NC, USA.
Ralph H. Johnson Veterans Affairs Hospital and Health Equity and Rural Outreach Innovation Center, Charleston, SC, USA.


Computed tomography lung cancer screening reduces lung cancer mortality. However, screening is underutilized. This study assesses the extent to which providers discuss lung cancer screening with their patients, as a lack of discussion and counseling may serve as a potential cause of low utilization rates. Data from 1667 adults aged 55-80 years sampled in the 2017 Health Information National Trends Survey was utilized. A weighted multivariable logistic regression model was fit with past-year discussion about lung cancer screening with a provider as the outcome. The adjusted odds of discussion were higher for current cigarette smokers compared to non-cigarette smokers (adjusted odds ratio = 3.91; 95% confidence interval [CI], 1.75 to 8.74). Despite higher odds, the absolute prevalence was low with only 18% (95% CI, 11.8 to 24.2%) of current adult smokers reporting a past-year discussion. Knowledge of screening from trusted sources of medical information, such as doctors, can increase screening rates and may ultimately reduce lung cancer mortality.


Doctor-patient; Lung cancer; Screening


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