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.
J Cancer Educ. 2020 Aug;35(4):678-681. doi: 10.1007/s13187-019-01510-9.
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.
计算机断层扫描肺癌筛查可降低肺癌死亡率。然而，筛查的利用率仍然较低。本研究评估了提供者与患者讨论肺癌筛查的程度，因为缺乏讨论和咨询可能是低利用率的潜在原因。该研究利用了 2017 年健康信息国家趋势调查中抽取的 1667 名 55-80 岁成年人的数据。采用加权多变量逻辑回归模型，以过去一年与提供者讨论肺癌筛查为因变量。与非吸烟者相比，目前吸烟者讨论肺癌筛查的调整后优势比更高（调整后优势比=3.91；95%置信区间[CI]，1.75 至 8.74）。尽管优势比更高，但绝对流行率仍然较低，只有 18%（95%CI，11.8 至 24.2%）的当前成年吸烟者报告过去一年进行了讨论。从医生等可靠的医疗信息来源了解筛查知识，可以提高筛查率，最终可能降低肺癌死亡率。
