Lung cancer screening adherence among people living with and without HIV: An analysis of an integrated health system in Florida, United States (2012-2021).
Lung cancer screening adherence among people living with and without HIV: An analysis of an integrated health system in Florida, United States (2012-2021).
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DOI：
10.1016/j.pmedr.2023.102334
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发表时间：
2023-10
影响因子：
2.8
通讯作者：
Guo, Yi
中科院分区：
文献类型：
--
作者：
Islam, Jessica Y.;Yang, Shuang;Schabath, Matthew;Vadaparampil, Susan T.;Lou, Xiwei;Wu, Yonghui;Bian, Jiang;Guo, Yi
Although lung cancer is a leading cause of death among people living with HIV (PLWH), limited research exists characterizing real-world lung cancer screening adherence among PLWH. Our objective was to compare low-dose computed tomography (LDCT) adherence among PLWH to those without HIV treated at one integrated health system. Using the University of Florida’s Health Integrated Data Repository (01/01/2012–10/31/2021), we identified PLWH with at least one LDCT procedure, using Current Procedural Terminology codes(S8032/G0297/71271). Lung cancer screening adherence was defined as a second LDCT based on the Lung Imaging Reporting and Data System (Lung-RADS®). Lung-RADS categories were extracted from radiology reports using a natural language processing system. PLWH were matched with 4 randomly selected HIV-negative patients based on (+/- 1 year) age, Lung-RADS category, and calendar year. Seventy-three PLWH and 292 matched HIV-negative adults with at least one LDCT were identified. PLWH were more likely to be male (66% vs.52%,p < 0.04), non-Hispanic Black (53% vs.23%,p < 0.001), and live in an area of high poverty (45% vs.31%,p < 0.001). PLWH were more likely to be diagnosed with lung cancer after first LDCT (8% vs.0%,p < 0.001). Seventeen percent of HIV-negative and 12% of PLWH were adherent to LDCT screenings. Only 25% of PLWH diagnosed with category 4A were adherent compared to 44% of HIV-negative. On multivariable analyses, those with older age (66–80 vs.50–64 years) and with either Medicaid, charity-based, or other government insurance (vs. Medicare) were less likely to be adherent to LDCT screenings. PLWH may have poorer adherence to LDCT compared to their HIV-negative counterparts.
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DOI：
10.1016/s2352-3018(17)30125-x
发表时间：
2017-11
期刊：
The lancet. HIV
影响因子：
--
作者：
Hernández-Ramírez RU;Shiels MS;Dubrow R;Engels EA
通讯作者：
Engels EA
影响因子：
4
作者：
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--
影响因子：
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作者：
Geter A;Sutton MY;Hubbard McCree D
通讯作者：
Hubbard McCree D
DOI：
10.1097/qad.0000000000001818
发表时间：
2018-06-19
期刊：
AIDS (London, England)
影响因子：
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作者：
Kong CY;Sigel K;Criss SD;Sheehan DF;Triplette M;Silverberg MJ;Henschke CI;Justice A;Braithwaite RS;Wisnivesky J;Crothers K
通讯作者：
Crothers K
DOI：
10.1016/j.jtho.2021.09.013
发表时间：
2022-01
期刊：
Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
影响因子：
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作者：
Lin Y;Fu M;Ding R;Inoue K;Jeon CY;Hsu W;Aberle DR;Prosper AE
通讯作者：
Prosper AE