Association of a Lung Screening Program Coordinator With Adherence to Annual CT Lung Screening at a Large Academic Institution.
Association of a Lung Screening Program Coordinator With Adherence to Annual CT Lung Screening at a Large Academic Institution.
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DOI：
10.1016/j.jacr.2019.08.010
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发表时间：
2020-02
期刊：
影响因子：
--
通讯作者：
Roumie CL
中科院分区：
文献类型：
--
作者：
Spalluto LB;Lewis JA;LaBaze S;Sandler KL;Paulson AB;Callaway-Lane C;Grogan EL;Massion PP;Roumie CL
在随后的几轮低剂量CT筛查中，早期肺癌的检测有所改善，并有可能通过根治性治疗挽救生命。因此，坚持每年一次的肺部筛查是重要的。我们假设，在聘请了专门的项目协调员后，对年度筛查的遵守程度将会提高。我们在2014年1月1日至2018年3月31日期间在我们学术机构接受肺部筛查的患者的回顾性队列中进行了一项混合方法研究。纳入了在2014年1月1日至2016年9月30日期间进行基线肺部筛查检查的患者，肺部CT筛查报告和数据系统评分为1或2分，并进行了12个月的随访建议。我们跟踪了患者在一段时间内(在聘用项目协调员之前和之后)对年度随访肺筛查的遵守情况，并对不遵守年度随访的患者进行了横断面调查，以获得定量和定性的反馈。在完成基线肺筛查且结果正常的319名患者中，189名(59%)坚持年度随访建议，130名(41%)不遵守建议。患者的依从性随着时间的推移而变化：在雇用项目协调员之前的遵从率为21.7%(10/46)，在项目协调员聘用日期后的遵从率为65.6%(179/273)。患者报告了不遵守年度肺部筛查的以下原因：缺乏交通工具，经济成本，医生缺乏沟通，以及缺乏目前的症状。随着时间的推移，在正常的基线研究后，对年度肺部筛查的依从性显著增加。聘请一名全职项目协调员可能与这一遵从性的提高有关。
Detection of early-stage lung cancer improves during subsequent rounds of screening with low-dose CT and potentially leads to saving lives with curative treatment. Therefore, adherence to annual lung screening is important. We hypothesized that adherence to annual screening would increase after hiring of a dedicated program coordinator. We performed a mixed-methods study in a retrospective cohort of patients who underwent lung screening at our academic institution between January 1, 2014, and March 31, 2018. Patients with baseline lung screening examinations performed between January 1, 2014, and September 30, 2016, with Lung CT Screening Reporting & Data System 1 or 2 scores and a 12-month follow-up recommendation were included. We tracked patient adherence to annual follow-up lung screening over time (before and after hiring of a program coordinator) and conducted a cross-sectional survey of patients nonadherent to annual follow-up to elicit quantitative and qualitative feedback. Of the 319 patients who completed baseline lung screening with normal results, 189 (59%) were adherent to annual follow-up recommendations and 130 (41%) were nonadherent. Patient adherence varied over time: 21.7% adherence (10 of 46) before hiring a program coordinator and 65.6% adherence (179 of 273) after the program coordinator’s hire date. Patients reported the following reasons for nonadherence to annual lung screening: lack of transportation, financial cost, lack of communication by physicians, and lack of current symptoms. Adherence to annual lung screening after normal baseline studies increased significantly over time. Hiring a full-time program coordinator was likely associated with this increased in adherence.
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DOI：
10.1158/1055-9965.epi-09-1120
发表时间：
2010-04
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Gierisch JM;Earp JA;Brewer NT;Rimer BK
通讯作者：
Rimer BK
影响因子：
5.1
作者：
Hubbard, Rebecca A.;O'Meara, Ellen S.;Onega, Tracy
通讯作者：
Onega, Tracy
影响因子：
39.2
作者：
Moyer, Virginia A.
通讯作者：
Moyer, Virginia A.
DOI：
10.1056/nejmoa1208962
发表时间：
2013-09-05
期刊：
The New England journal of medicine
影响因子：
--
作者：
Aberle DR;DeMello S;Berg CD;Black WC;Brewer B;Church TR;Clingan KL;Duan F;Fagerstrom RM;Gareen IF;Gatsonis CA;Gierada DS;Jain A;Jones GC;Mahon I;Marcus PM;Rathmell JM;Sicks J;National Lung Screening Trial Research Team
通讯作者：
National Lung Screening Trial Research Team
影响因子：
4.5
作者：
Alshora, Sama;McKee, Brady J.;Wald, Christoph
通讯作者：
Wald, Christoph