Dodd Rachael H, Zhang Chenyue, Sharman Ashleigh R, Carlton Julie, Tang Ruijin, Rankin Nicole M
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
JMIR Cancer. 2022 Aug 30;8(3):e34264. doi: 10.2196/34264.
Lung cancer is the leading cause of cancer death worldwide. The US Preventive Services Task Force (USPSTF) updated recommendations for lung cancer screening in 2021, adjusting the age of screening to 50 years (from 55 years) and reducing the number of pack-years used to estimate total firsthand cigarette smoke exposure to 20 (from 30). With many individuals using the internet to find health care information, it is important to understand what information is available for individuals contemplating lung cancer screening.
This study aimed to assess the eligibility criteria and information available on lung cancer screening program websites for both health professionals and potential screening participants.
A descriptive cross-sectional analysis of 151 lung cancer screening program websites of academic (n=76) and community medical centers (n=75) in the United States with information for health professionals and potential screening participants was conducted in March 2021. Presentation of eligibility criteria for potential screening participants and presence of information available specific to health professionals about lung cancer screening were the primary outcomes. Secondary outcomes included presentation of information about cost and smoking cessation, inclusion of an online risk assessment tool, mention of any clinical guidelines, and use of multimedia to present information.
Eligibility criteria for lung cancer screening was included in nearly all 151 websites (n=142, 94%), as well as age range (n=139, 92.1%) and smoking history (n=141, 93.4%). Age was only consistent with the latest recommendations in 14.5% (n=22) of websites, and no websites had updated smoking history. Half the websites (n=76, 50.3%) mentioned screening costs as related to the type of insurance held. A total of 23 (15.2%) websites featured an online assessment tool to determine eligibility. The same proportion (n=23, 15.2%) hosted information specifically for health professionals. In total, 44 (29.1%) websites referred to smoking cessation, and 46 (30.5%) websites used multimedia to present information, such as short videos or podcasts.
Most websites of US lung cancer screening programs provide information about eligibility criteria, but this is not consistent and has not been updated across all websites following the latest USPSTF recommendations. Online resources require updating to present standardized information that is accessible for all.
肺癌是全球癌症死亡的主要原因。美国预防服务工作组（USPSTF）于2021年更新了肺癌筛查建议，将筛查年龄调整为50岁（从55岁），并将用于估计首次直接接触香烟总暴露量的包年数减少至20（从30）。鉴于许多人通过互联网查找医疗保健信息，了解为考虑进行肺癌筛查的个人提供了哪些信息非常重要。
本研究旨在评估学术机构（n = 76）和社区医疗中心（n = 75）的151个肺癌筛查项目网站上可供医疗专业人员和潜在筛查参与者获取的资格标准和信息。
2021年3月，对美国151个肺癌筛查项目网站进行了描述性横断面分析，这些网站包括学术机构（n = 76）和社区医疗中心（n = 75），提供了针对医疗专业人员和潜在筛查参与者的信息。潜在筛查参与者资格标准的呈现以及针对医疗专业人员的肺癌筛查特定信息的存在是主要结果。次要结果包括成本和戒烟信息的呈现、在线风险评估工具的纳入、对任何临床指南的提及以及使用多媒体呈现信息。
几乎所有151个网站（n = 142，94%）都包含肺癌筛查的资格标准，以及年龄范围（n = 139，92.1%）和吸烟史（n = 141，93.4%）。年龄仅在14.5%（n = 22）的网站上与最新建议一致，且没有网站更新吸烟史。一半的网站（n = 76，50.3%）提到了与所持保险类型相关的筛查成本。共有23个（15.2%）网站设有在线评估工具来确定资格。相同比例（n = 23，15.2%）的网站提供了专门针对医疗专业人员的信息。总共有44个（29.1%）网站提到了戒烟，46个（30.5%）网站使用多媒体呈现信息，如短视频或播客。
美国肺癌筛查项目的大多数网站提供了有关资格标准的信息，但这并不一致，且并非所有网站都根据USPSTF的最新建议进行了更新。在线资源需要更新，以提供所有人都能获取的标准化信息。
