Florida International University College of Medicine, Miami, FL.
Department of Radiology, Mayo Clinic Florida, 4500 San Pablo Rd, Jacksonville, FL 32224.
AJR Am J Roentgenol. 2023 Aug;221(2):258-271. doi: 10.2214/AJR.23.29066. Epub 2023 Mar 16.
Newspapers are an important source of information for the public about low-dose CT (LDCT) lung cancer screening (LCS) and may influence public perception and knowledge of this important cancer screening service. The purpose of this article was to evaluate the volume, content, and other characteristics of articles pertaining to LCS that have been published in U.S. newspapers. The ProQuest U.S. Newsstream database was searched for U.S. newspaper articles referring to LCS published between January 1, 2010 (the year of publication of the National Lung Screening Trial results), and March 28, 2022. Search terms included "lung cancer screening(s)," "lung screening(s)," "low dose screening(s)," and "LDCT." Search results were reviewed to identify those articles mentioning LCS. Characteristics of included articles and originating newspapers were extracted. Articles were divided among nine readers, who independently assessed article sentiment regarding LCS and additional article content using a standardized form. The final analysis included 859 articles, comprising 816 nonsyndicated articles published in a single newspaper and 43 syndicated articles published in multiple newspapers. Sentiment regarding LCS was positive in 76% (651/859) of articles, neutral in 21% (184/859), and negative in 3% (24/859). Frequency of positive sentiment was lowest (61%) for articles published from 2010 to 2012; frequency of negative sentiment was highest (8%) for articles published in newspapers in the highest quartile for weekly circulation. LCS enrollment criteria were mentioned in 52% of articles, smoking cessation programs in 28%, need for annual CT in 27%, and shared decision-making in 4%. Cost or insurance coverage for LCS was mentioned in 33% in articles. A total of 64% of articles mentioned at least one benefit of LCS (most commonly early detection or possible cure of lung cancer), and 23% mentioned at least one harm (most commonly false-positives). A total of 9% of articles interviewed or mentioned a radiologist. The sentiment of U.S. newspaper articles covering LCS from 2010 to 2022 was overall positive. However, certain key elements of LCS were infrequently mentioned. The findings highlight areas for potential improvement of LCS media coverage; radiologists have an opportunity to take a more active role in this coverage.
报纸是公众了解低剂量 CT（LDCT）肺癌筛查（LCS）的重要信息来源，可能会影响公众对这一重要癌症筛查服务的看法和认知。本文旨在评估自 2010 年（国家肺癌筛查试验结果公布的那一年）至 2022 年 3 月 28 日期间在美国报纸上发表的有关 LCS 的文章的数量、内容和其他特征。使用 ProQuest U.S. Newsstream 数据库检索了提到 LCS 的美国报纸文章。搜索词包括“lung cancer screening(s)”、“lung screening(s)”、“low dose screening(s)”和“LDCT”。对搜索结果进行了审查，以确定提到 LCS 的文章。提取了包含文章和原始报纸的特征。将文章分为 9 位读者，他们使用标准化表格独立评估了文章对 LCS 的看法以及其他文章内容。最终分析包括 859 篇文章，包括在一份报纸上发表的 816 篇非特稿和在多份报纸上发表的 43 篇特稿。859 篇文章中，有 76%（651/859）的文章对 LCS 的看法是积极的，21%（184/859）的文章是中立的，3%（24/859）的文章是消极的。2010 年至 2012 年发表的文章中，积极的观点频率最低（61%）；发行量最高的四分之一报纸上发表的文章中，消极观点的频率最高（8%）。52%的文章提到了 LCS 的纳入标准，28%的文章提到了戒烟计划，27%的文章提到了每年进行 CT 的必要性，4%的文章提到了共同决策。33%的文章提到了 LCS 的费用或保险覆盖，64%的文章提到了 LCS 的至少一项益处（最常见的是早期发现或可能治愈肺癌），23%的文章提到了至少一项危害（最常见的是假阳性）。9%的文章采访或提到了放射科医生。2010 年至 2022 年期间，美国报纸上有关 LCS 的文章总体上是积极的。然而，LCS 的某些关键要素很少被提及。研究结果突出了改善 LCS 媒体报道的潜在领域；放射科医生有机会在这方面发挥更积极的作用。
