RT Journal Article
SR Electronic
T1 Proactive Recruitment Strategy for Patient Identification for Lung Cancer Screening
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 119
OP 124
DO 10.1370/afm.2905
VO 21
IS 2
A1 Thuppal, Sowmyanarayanan
A1 Hendren, Jared R.
A1 Colle, Joni
A1 Sapra, Amit
A1 Bhandari, Priyanka
A1 Rahman, Rachel
A1 Krus-Johnston, Amanda
A1 Hoffman, M. Rebecca
A1 Foray, Nathalie
A1 Hazelrigg, Stephen
A1 Crabtree, Traves
YR 2023
UL http://www.annfammed.org/content/21/2/119.abstract
AB PURPOSE We assessed low-dose computed tomography (LDCT) screening for lung cancer using a proactive patient education/recruitment program.METHODS We identified patients aged 55-80 years from a family medicine group. In the retrospective phase (March-August, 2019), patients were categorized as current/former/never smokers, and screening eligibility was determined. Patients who underwent LDCT in the past year, along with outcomes, were documented. In the prospective phase (2020), patients in the same cohort who did not undergo LDCT were proactively contacted by a nurse navigator to discuss eligibility and prescreening. Eligible and willing patients were referred to their primary care physician.RESULTS In the retrospective phase, of 451 current/former smokers, 184 (40.8%) were eligible for LDCT, 104 (23.1%) were ineligible, and 163 (36.1%) had an incomplete smoking history. Of those eligible, 34 (18.5%) had LDCT ordered. In the prospective phase, 189 (41.9%) were eligible for LDCT (150 [79.4%] of whom had no prior LDCT or diagnostic CT), 106 (23.5%) were ineligible, and 156 (34.6%) had an incomplete smoking history. The nurse navigator identified an additional 56/451 (12.4%) patients as eligible after contacting patients with incomplete smoking history. In total, 206 patients (45.7%) were eligible, an increase of 37.3% compared with the retrospective phase (150). Of these, 122 (59.2%) verbally agreed to screening, 94 (45.6%) met with their physician, and 42 (20.4%) were prescribed LDCT.CONCLUSIONS A proactive education/recruitment model increased eligible patients for LDCT by 37.3%. Proactive identification/education of patients desiring to pursue LDCT was 59.2%. It is essential to identify strategies that will increase and deliver LDCT screening among eligible and willing patients.