Evaluating Lung Cancer Screening Across Diverse Healthcare Systems: A Process Model from the Lung PROSPR Consortium
Recommended Citation
Rendle KA, Burnett-Hartman AN, Neslund-Dudas C, Greenlee RT, Honda S, Elston Lafata J, Marcus PM, Cooley ME, Vachani A, Meza R, Oshiro C, Simoff MJ, Schnall M, Beaber EF, Doria-Rose VP, Doubeni CA, and Ritzwoller DP. Evaluating Lung Cancer Screening Across Diverse Healthcare Systems: A Process Model from the Lung PROSPR Consortium. Cancer Prev Res (Phila) 2019.
Document Type
Article
Publication Date
12-23-2019
Publication Title
Cancer Prev Res (Phila)
Abstract
Numerous organizations, including the United States Preventive Services Task Force, recommend annual lung cancer screening (LCS) with low-dose computed tomography (LDCT) for high-risk adults who meet specific criteria. Despite recommendations and national coverage for screening-eligible adults through the Centers for Medicare and Medicaid Services, LCS uptake in the United States remains low (<4%). In recognition of the need to improve and understand LCS across the population, as part of the larger Population-based Research to Optimize the Screening PRocess (PROSPR) consortium, the National Cancer Institute funded the Lung PROSPR Research Consortium consisting of five diverse healthcare systems in Colorado, Hawaii, Michigan, Pennsylvania, and Wisconsin. Using various methods and data sources, the center aims to examine utilization and outcomes of LCS across diverse populations, and assess how variations in the implementation of LCS programs shape outcomes across the screening process. This commentary presents the PROSPR LCS process model, which outlines the interrelated steps needed to complete the screening process from risk assessment to treatment. In addition to guiding planned projects within the Lung PROSPR Research Consortium, this model provides insights on the complex steps needed to implement, evaluate, and improve LCS outcomes in community practice.
Medical Subject Headings
Community Health Planning/organization & administration/standards; Cost of Illness; Counseling/organization & administration; Delivery of Health Care/organization & administration/standards; Early Detection of Cancer/methods/standards; Geography; Health Plan Implementation/organization & administration/standards; Health Status Disparities; Humans; Lung/diagnostic imaging; Lung Neoplasms/diagnosis/epidemiology/etiology/prevention & control; Mass Screening/organization & administration/standards; Models; Organizational; Practice Guidelines as Topic; Risk Assessment/methods/standards; Smoking/adverse effects/epidemiology; Socioeconomic Factors; Tobacco Use Cessation; Tomography; X-Ray Computed; United States
PubMed ID
31871221
ePublication
ePub ahead of print
Volume
13
Issue
2
First Page
129
Last Page
136
