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Implementing Lung Cancer Screening in Clinical Practice

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Lung Cancer Screening

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Abstract

Successful implementation of low-dose computed tomography (LDCT) screening in primary care requires robust financial resources, significant buy-in from key stakeholders, and close collaboration with leadership, administration, and clinic staff. After establishing buy-in, it is important to appoint “implementation leaders” and “champions,” who are enthusiastic and knowledgeable about LDCT screening and can provide guidance throughout the planning and implementation process. The process of correctly identifying and confirming potential eligible individuals for LDCT screening is essential. Electronic health record (EHR)-based tools are adapted to identify and select individuals for LDCT screening in decentralized and hybrid-structured LDCT screening programs. However, there are several barriers to implementing LDCT screening in primary care. The Consolidated Framework for Implementation Research (CFIR) has been used to study factors associated with successful and failed implementation of LDCT screening in healthcare settings. The cost of implementing and sustaining LDCT screening in primary care is not small. However, with careful planning and open communication, many in primary care can build a path to successfully implementing LDCT screening.

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References

  1. National Lung Screening Trial Research Team, Aberle DR, Berg CD, Black WC, Church TR, Fagerstrom RM, Galen B, Gareen IF, Gatsonis C, Goldin J, Gohagan JK, Hillman B, Jaffe C, Kramer BS, Lynch D, Marcus PM, Schnall M, Sullivan DC, Sullivan D, Zylak CJ. The National Lung Screening Trial: overview and study design. Radiology. 2011;258(1):243–53. https://doi.org/10.1148/radiol.10091808. Epub 2010 Nov 2. PMID: 21045183; PMCID: PMC3009383.

    Article  PubMed Central  Google Scholar 

  2. Armstrong K, Kim JJ, Halm EA, Ballard RM, Schnall MD. Using lessons from breast, cervical, and colorectal cancer screening to inform the development of lung cancer screening programs. Cancer. 2016;122(9):1338–42. https://doi.org/10.1002/cncr.29937. Epub 2016 Feb 29. PMID: 26929386; PMCID: PMC4840047.

    Article  PubMed  Google Scholar 

  3. Wood DE, Eapen GA, Ettinger DS, et al. NCCN clinical practice guidelines in oncology: lung cancer screening. Version 1, 2012. http://www.nccn.org/professionals/physician_gls/pdf/lung_screening.pdf. Accessed 9 Jan 2012.

  4. Moyer VA, U.S. Preventive Services Task Force. Screening for lung cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(5):330–8. https://doi.org/10.7326/M13-2771. PMID: 24378917.

    Article  PubMed  Google Scholar 

  5. US Preventive Services Task Force, Krist AH, Davidson KW, Mangione CM, Barry MJ, Cabana M, Caughey AB, Davis EM, Donahue KE, Doubeni CA, Kubik M, Landefeld CS, Li L, Ogedegbe G, Owens DK, Pbert L, Silverstein M, Stevermer J, Tseng CW, Wong JB. Screening for lung cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;325(10):962–70. https://doi.org/10.1001/jama.2021.1117. PMID: 33687470.

    Article  Google Scholar 

  6. Harris RP, Sheridan SL, Lewis CL, Barclay C, Vu MB, Kistler CE, Golin CE, DeFrank JT, Brewer NT. The harms of screening: a proposed taxonomy and application to lung cancer screening. JAMA Intern Med. 2014;174(2):281–5. https://doi.org/10.1001/jamainternmed.2013.12745. Erratum in: JAMA Intern Med. 2014 Mar;174(3):484. PMID: 24322781.

    Article  PubMed  Google Scholar 

  7. USPSTF (U.S. Preventive Services Task Force). Modeling report: other supporting document for lung cancer: screening. 2013. https://www.uspreventiveservicestaskforce.org/Page/Document/modeling-report/lung-cancer-screening. Accessed 15 Jan 2022.

  8. Brenner DR, Boffetta P, Duell EJ, Bickeböller H, Rosenberger A, McCormack V, Muscat JE, Yang P, Wichmann H-E, Brueske-Hohlfeld I, Schwartz AG, Cote ML, Tjønneland A, Friis S, Le Marchand L, Zhang Z-F, Morgenstern H, SzeszeniaDabrowska N, Lissowska J, Zaridze D, Rudnai P, Fabianova E, Foretova L, Janout V, Bencko V, Schejbalova M, Brennan P, Mates IN, Lazarus P, Field JK, Raji O, McLaughlin JR, Liu G, Wiencke J, Neri M, Ugolini D, Andrew AS, Lan Q, Hu W, Orlow I, Park BJ, Hung RJ. Previous lung diseases and lung cancer risk: a pooled analysis from the International Lung Cancer Consortium. Am J Epidemiol. 2012;176(7):573–85.

    Article  PubMed  PubMed Central  Google Scholar 

  9. McKee BJ, Hashim JA, French RJ, McKee AB, Hesketh PJ, Lamb CR, Williamson C, Flacke S, Wald C. Experience with a CT screening program for individuals at high risk for develo** lung cancer. J Am Coll Radiol. 2015;12(2):192–7. https://doi.org/10.1016/j.jacr.2014.08.002. Epub 2014 Aug 28. PMID: 25176498.

    Article  PubMed  Google Scholar 

  10. CMS (Centers for Medicare & Medicaid Services). Decision memo for screening for lung cancer with low dose computed tomography (LDCT) (cag-00439n). 2015. https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&NCAId=274. Accessed 12 Nov 2021.

  11. Ersek JL, Eberth JM, McDonnell KK, Strayer SM, Sercy E, Cartmell KB, Friedman DB. Knowledge of, attitudes toward, and use of low-dose computed tomography for lung cancer screening among family physicians. Cancer. 2016;122(15):2324–31.

    Article  PubMed  Google Scholar 

  12. Lewis JA, Petty WJ, Tooze JA, Miller DP, Chiles C, Miller AA, Bellinger C, Weaver KE. Low-dose CT lung cancer screening practices and attitudes among primary care providers at an academic medical center. Cancer Epidemiol Biomark Prev. 2015;24(4):664–70.

    Article  Google Scholar 

  13. Volk RJ, Foxhall LE. Readiness of primary care clinicians to implement lung cancer screening programs. Prev Med Rep. 2015;2:717–9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Raz DJ, Wu GX, Consunji M, Nelson R, Sun C, Erhunmwunsee L, et al. Perceptions and utilization of lung cancer screening among primary care physicians. J Thorac Oncol. 2016;11(11):1856–62.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Force UPST. Screening for lung cancer: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;325(10):962–70.

    Article  Google Scholar 

  16. Modin HE, Fathi JT, Gilbert CR, Wilshire CL, Wilson AK, Aye RW, Farivar AS, Louie BE, Vallieres E, Gorden JA. Pack year cigarette smoking history for determination of lung cancer screening eligibility. Comparison of the electronic medical record versus a shared decision-making conversation. Ann Am Thorac Soc. 2017;14:1320–5.

    Article  PubMed  Google Scholar 

  17. Mazzone PJ, Tenenbaum A, Seeley M, Petersen H, Lyon C, Han X, Wang XF. Impact of a lung cancer screening counseling and shared decision-making visit. Chest. 2017;151(3):572–8. https://doi.org/10.1016/j.chest.2016.10.027. Epub 2016 Nov 1. PMID: 27815154.

    Article  PubMed  Google Scholar 

  18. Paige SR, Salloum RG, Carter-Harris L. Assessment of lung cancer screening eligibility on NCI-designated cancer center websites. J Cancer Educ. 2021. https://doi.org/10.1007/s13187-021-02051-w. Epub ahead of print. PMID: 34478042.

  19. US Preventive Services Task Force. Final recommendation statement: lung cancer: screening. https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/lung-cancer-screening. Accessed 28 Jan 2022.

  20. Jensen TS, Chin J, Ashby L, Hermansen J, Hutter JD. Decision memo for screening for lung cancer with low dose computed tomography (LDCT). 2015. https://www.cms.gov/medicare-cover age-database/details/nca-decision-memo.aspx?NCAId=274. Accessed 28 Jan 2022.

  21. Kanodra NM, Pope C, Halbert CH, Silvestri GA, Rice LJ, Tanner NT. Primary care provider and the patient perspectives on lung cancer screening: a qualitative study. Ann Am Thorac Soc. 2016;13:1977–82.

    Article  PubMed  Google Scholar 

  22. Zapka JG, Lemon SC. Interventions for patients, providers, and health care organizations. Cancer. 2004;101:1165–87.

    Article  PubMed  Google Scholar 

  23. Janssen K, Schertz K, Rubin N, Begnaud A. Incidental findings in a decentralized lung cancer screening program. Ann Am Thorac Soc. 2019;16(9):1198–201. https://doi.org/10.1513/AnnalsATS.201812-908RL. [PubMed: 31251089].

    Article  PubMed  PubMed Central  Google Scholar 

  24. Hirsch EA, New ML, Brown SL, Barón AE, Sachs PB, Malkoski SP. Impact of a hybrid lung cancer screening model on patient outcomes and provider behavior. Clin Lung Cancer. 2020;21(6):e640–6. https://doi.org/10.1016/j.cllc.2020.05.018. Epub 2020 May 23. PMID: 32631782; PMCID: PMC7606309.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Yarnall KSH, Pollak KI, Østbye T, Krause KM, Michener JL. Primary care: is there enough time for prevention? Am J Public Health. 2003;93(4):635–41.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Triplette M, Kross EK, Mann BA, Elmore JG, Slatore CG, Shahrir S, Romine PE, Frederick PD, Crothers K. An assessment of primary care and pulmonary provider perspectives on lung cancer screening. Ann Am Thorac Soc. 2018;15(1):69–75. https://doi.org/10.1513/AnnalsATS.201705-392OC. PMID: 28933940; PMCID: PMC5822418.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Gestalter YB, Koppelman E, Bolton R, Slatore CG, Yoon SH, Cain HC, Tanner NT, Au DH, Clark JA, Wiener RS. Evaluations of implementation at early-adopting lung cancer screening programs: lessons learned. Chest. 2017;152(1):70–80. https://doi.org/10.1016/j.chest.2017.02.012. Epub 2017 Feb 20. PMID: 28223153.

    Article  Google Scholar 

  28. Allen CG, Cotter MM, Smith RA, Watson L. Successes and challenges of implementing a lung cancer screening program in federally qualified health centers: a qualitative analysis using the Consolidated Framework for Implementation Research. Transl Behav Med. 2020;11(5):1088–98.

    Article  PubMed Central  Google Scholar 

  29. Ortmeyer K, Ma GX, Kaiser LR, Erkmen C. Effective educational approaches to training physicians about lung cancer screening. J Cancer Educ. 2022;37(1):52–7.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Doty J, Lackey L, Ersek J, Howard D, Clary A. P3.11-05 use of electronic medical record (EMR)-embedded clinical decision support tools improves lung cancer screening rates. J Thorac Oncol. 2018;13(10):S960.

    Article  Google Scholar 

  31. Kinsinger LS, Anderson C, Kim J, Larson M, Chan SH, King HA, et al. Implementation of lung cancer screening in the veterans health administration. JAMA Intern Med. 2017;177(3):399–406.

    Article  PubMed  Google Scholar 

  32. Zeliadt SB, Hoffman RM, Birkby G, Eberth JM, Brenner AT, Reuland DS, et al. Challenges implementing lung cancer screening in federally qualified health centers. Am J Prev Med. 2018;54(4):568–75.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Percac-Lima S, Ashburner JM, Rigotti NA, Park ER, Chang Y, Kuchukhidze S, et al. Patient navigation for lung cancer screening among current smokers in community health centers a randomized controlled trial. Cancer Med. 2018;7(3):894–902.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Brenner AT, Cubillos L, Birchard K, Doyle-Burr C, Eick J, Henderson L, et al. Improving the implementation of lung cancer screening guidelines at an academic primary care practice. J Healthc Qual. 2018;40(1):27–35.

    Article  PubMed  Google Scholar 

  35. Wiener RS, Gould MK, Arenberg DA, Au DH, Fennig K, Lamb CR, et al. An official American Thoracic Society/American College of Chest Physicians policy statement: implementation of low-dose computed tomography lung cancer screening programs in clinical practice. Am J Respir Crit Care Med. 2015;192(7):881–91.

    Article  PubMed  PubMed Central  Google Scholar 

  36. National Academies of Sciences, Engineering, and Medicine. Implementation of lung cancer screening: proceedings of a workshop. Washington, DC: The National Academies Press; 2017. https://doi.org/10.17226/23680.

  37. Spalluto LB, Lewis JA, Stolldorf D, Yeh VM, Callaway-Lane C, Wiener RS, Slatore CG, Yankelevitz DF, Henschke CI, Vogus TJ, Massion PP, Moghanaki D, Roumie CL. Organizational readiness for lung cancer screening: a cross-sectional evaluation at a Veterans Affairs Medical Center. J Am Coll Radiol. 2021;18(6):809–19. https://doi.org/10.1016/j.jacr.2020.12.010. Epub 2021 Jan 7. Erratum in: J Am Coll Radiol. 2021 Sep;18(9):1371. PMID: 33421372; PMCID: PMC8180484.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Erkmen CP, Moore RF, Belden C, DiSesa V, Kaiser LR, Ma GX, Paranjape A. Overcoming barriers to lung cancer screening by implementing a single-visit patient experience. Int J Cancer Oncol. 2017;4(2). https://doi.org/10.15436/2377-0902.17.1469. Epub 2017 May 17. PMID: 29399636; PMCID: PMC5796669.

  39. McKee BJ, McKee AB, Flacke S, et al. Initial experience with a free, high-volume, low-dose CT lung cancer screening program. J Am Coll Radiol. 2013;10:586–92.

    Article  PubMed  Google Scholar 

  40. Carter-Harris L, Ceppa DP, Hanna N, Rawl SM. Lung cancer screening: what do long-term smokers know and believe? Health Expect. 2017;20(1):59–68. https://doi.org/10.1111/hex.12433. Epub 2015 Dec 23. PMID: 26701339; PMCID: PMC4919238.

    Article  PubMed  Google Scholar 

  41. Tanner NT, Egede LE, Shamblin C, Gebregziabher M, Silvestri GA. Attitudes and beliefs toward lung cancer screening among US Veterans. Chest. 2013;144(6):1783–7. https://doi.org/10.1378/chest.13-0056. PMID: 23764896; PMCID: PMC3848465.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q. 2001;79(2):281–315. https://doi.org/10.1111/1468-0009.00206. PMID: 11439467; PMCID: PMC2751188.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. https://doi.org/10.1186/1748-5908-4-50. PMID: 19664226; PMCID: PMC2736161.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Burnes B. Emergent change and planned change–competitors or allies?: The case of XYZ construction. Int J Oper Prod Manag. 2004;24(9):886–902. https://doi.org/10.1108/01443570410552108

  45. Liang S, Kegler MC, Cotter M, Emily P, Beasley D, Hermstad A, Morton R, Martinez J, Riehman K. Integrating evidence-based practices for increasing cancer screenings in safety net health systems: a multiple case study using the Consolidated Framework for Implementation Research. Implement Sci. 2016;11:109. https://doi.org/10.1186/s13012-016-0477-4. Erratum in: Implement Sci. 2016;11(1):130. PMID: 27485452; PMCID: PMC4970264.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Walker TJ, Risendal B, Kegler MC, Friedman DB, Weiner BJ, Williams RS, Tu SP, Fernandez ME. Assessing levels and correlates of implementation of evidence-based approaches for colorectal cancer screening: a cross-sectional study with federally qualified health centers. Health Educ Behav. 2018;45(6):1008–15. https://doi.org/10.1177/1090198118778333. Epub 2018 Jul 10. PMID: 29991294; PMCID: PMC6226355.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Kegler MC, Liang S, Weiner BJ, Tu SP, Friedman DB, Glenn BA, Herrmann AK, Risendal B, Fernandez ME. Measuring constructs of the consolidated framework for implementation research in the context of increasing colorectal cancer screening in federally qualified health center. Health Serv Res. 2018;53(6):4178–203. https://doi.org/10.1111/1475-6773.13035. Epub 2018 Sep 10. PMID: 30260471; PMCID: PMC6232399.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Chen LH, Quinn V, Xu L, Gould MK, Jacobsen SJ, Koebnick C, Reynolds K, Hechter RC, Chao CR. The accuracy and trends of smoking history documentation in electronic medical records in a large managed care organization. Subst Use Misuse. 2013;48(9):731–42. https://doi.org/10.3109/10826084.2013.787095. Epub 2013 Apr 26. PMID: 23621678.

    Article  PubMed  Google Scholar 

  49. Wu YC, Perkovich MT, Woldemichael KM, et al. Electronic medical record smoking history does not accurately identify candidates for lung cancer screening—disproportionately affecting vulnerable and high-risk populations. Am J Respir Crit Care Med. 2016;193:A1092.

    Google Scholar 

  50. Begnaud AL, Joseph AM, Lindgren BR. Randomized electronic promotion of lung cancer screening: a pilot. JCO Clin Cancer Inform. 2017;1:1–6. https://doi.org/10.1200/CCI.17.00033. PMID: 30657381; PMCID: PMC6874003.

    Article  PubMed  Google Scholar 

  51. Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ. 2005;330(7494):765. https://doi.org/10.1136/bmj.38398.500764.8F. Epub 2005 Mar 14. PMID: 15767266; PMCID: PMC555881.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Mejia MC, Zoorob R, Gonzalez S, Mosqueda M, Levine R. Key informants’ perspectives on implementing a comprehensive lung cancer screening program in a safety net healthcare system: leadership, successes, and barriers. J Cancer Educ. 2021. https://doi.org/10.1007/s13187-020-01931-x. Epub ahead of print. PMID: 33417096.

  53. Quaife SL, Marlow LAV, McEwen A, Janes SM, Wardle J. Attitudes towards lung cancer screening in socioeconomically deprived and heavy smoking communities: informing screening communication. Health Expect. 2017;20(4):563–73. https://doi.org/10.1111/hex.12481. Epub 2016 Jul 11. PMID: 27397651; PMCID: PMC5513004.

  54. Rankin NM, McWilliams A, Marshall HM. Lung cancer screening implementation: complexities and priorities. Respirology. 2020;25(Suppl 2):5–23. https://doi.org/10.1111/resp.13963. PMID: 33200529.

    Article  PubMed  Google Scholar 

  55. http://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=274. Accessed 12 Nov 2021.

  56. Optican RJ, Chiles C. Implementing lung cancer screening in the real world: opportunity, challenges and solutions. Transl Lung Cancer Res. 2015;4(4):353–64. https://doi.org/10.3978/j.issn.2218-6751.2015.07.14. PMID: 26380176; PMCID: PMC4549464.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Cressman S, Lam S, Tammemagi MC, Evans WK, Leighl NB, Regier DA, Bolbocean C, Shepherd FA, Tsao MS, Manos D, Liu G, Atkar-Khattra S, Cromwell I, Johnston MR, Mayo JR, McWilliams A, Couture C, English JC, Goffin J, Hwang DM, Puksa S, Roberts H, Tremblay A, MacEachern P, Burrowes P, Bhatia R, Finley RJ, Goss GD, Nicholas G, Seely JM, Sekhon HS, Yee J, Amjadi K, Cutz JC, Ionescu DN, Yasufuku K, Martel S, Soghrati K, Sin DD, Tan WC, Urbanski S, Xu Z, Peacock SJ; Pan-Canadian Early Detection of Lung Cancer Study Team. Resource utilization and costs during the initial years of lung cancer screening with computed tomography in Canada. J Thorac Oncol. 2014;9(10):1449–58. https://doi.org/10.1097/JTO.0000000000000283. PMID: 25105438; PMCID: PMC4165479.

  58. Weiner BJ, Lewis MA, Linnan LA. Using organization theory to understand the determinants of effective implementation of worksite health promotion programs. Health Educ Res. 2009;24(2):292–305. https://doi.org/10.1093/her/cyn019. Epub 2008 May 9. PMID: 18469319.

    Article  PubMed  Google Scholar 

  59. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008;337:a1714. https://doi.org/10.1136/bmj.a1714. PMID: 18838424.

    Article  PubMed  Google Scholar 

  60. Fathi JT, White CS, Greenberg GM, Mazzone PJ, Smith RA, Thomson CC. The integral role of the electronic health record and tracking software in the implementation of lung cancer screening; a call to action to developers: a white paper from the National Lung Cancer Roundtable. Chest. 2020;157(6):1674–9.

    Article  PubMed  Google Scholar 

  61. Hernandez-Boussard T, Blayney DW, Brooks JD. Leveraging digital data to inform and improve quality cancer care. Cancer Epidemiol Biomarkers Prev. 2020;29(4):816.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Patel N, Miller DP, Snavely AC, Bellinger C, Foley KL, Case D, et al. A comparison of smoking history in the electronic health record with self-report. Am J Prev Med. 2020;58(4):591–5.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Cole AM, Pflugeisen B, Schwartz MR, Miller SC. Cross sectional study to assess the accuracy of electronic health record data to identify patients in need of lung cancer screening. BMC Res Notes. 2018;11(1):14.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Tarabichi Y, Kats DJ, Kaelber DC, Thornton JD. The impact of fluctuations in pack-year smoking history in the electronic health record on lung cancer screening practices. Chest. 2018;153(2):575–8.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Peterson E, Harris K, Farjah F, Akinsoto N, Marcotte LM. Improving smoking history documentation in the electronic health record for lung cancer risk assessment and screening in primary care: a case study. Healthcare. 2021;9(4):100578.

    Article  PubMed  Google Scholar 

  66. Bach PB, Kattan MW, Thornquist MD, Kris MG, Tate RC, Barnett MJ, et al. Variations in lung cancer risk among smokers. J Natl Cancer Inst. 2003;95(6):470–8.

    Article  PubMed  Google Scholar 

  67. Tammemagi MC, Katki HA, Hocking WG, Church TR, Caporaso N, Kvale PA, et al. Selection criteria for lung-cancer screening. N Engl J Med. 2013;368(8):728–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Wilshire CL, Fuller CC, Gilbert CR, Handy JR, Costas KE, Louie BE, et al. Electronic medical record inaccuracies: multicenter analysis of challenges with modified lung cancer screening criteria. Can Respir J. 2020;2020:7142568.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Patel MS, Navathe AS, Liao JM. Using nudges to improve value by increasing imaging-based cancer screening. J Am Coll Radiol. 2020;17(1):38–41.

    Article  PubMed  Google Scholar 

  70. Gould MK, Sakoda LC, Ritzwoller DP, Simoff MJ, Neslund-Dudas CM, Kushi LH, et al. Monitoring lung cancer screening use and outcomes at four cancer research network sites. Ann Am Thorac Soc. 2017;14(12):1827–35.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Mougalian SS, Gross CP, Hall EK. Text messaging in oncology: a review of the landscape. JCO Clin Cancer Inform. 2018;2:1–9.

    Article  PubMed  Google Scholar 

  72. O’Brien MA, Sullivan F, Carson A, Siddiqui R, Syed S, Paszat L. Piloting electronic screening forms in primary care: findings from a mixed methods study to identify patients eligible for low dose CT lung cancer screening. BMC Fam Pract. 2017;18(1):95.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Weinstock TG, Tewari A, Patel H, Kelley K, Tananbaum R, Flores A, et al. No stone unturned: Nodule Net, an intervention to reduce loss to follow-up of lung nodules. Respir Med. 2019;157:49–51.

    Article  CAS  PubMed  Google Scholar 

  74. Lim PS, Schneider D, Sternlieb J, Taupin M, Sich N, Dian J, et al. Process improvement for follow-up radiology report recommendations of lung nodules. BMJ Open Qual. 2019;8(2):e000370.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Murphy DR, Thomas EJ, Meyer AND, Singh H. Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. Radiology. 2015;277(1):81–7.

    Article  PubMed  Google Scholar 

  76. Dyer DS, Zelarney PT, Carr LL, Kern EO. Improvement in follow-up imaging with a patient tracking system and computerized registry for lung nodule management. J Am Coll Radiol. 2021;18(7):937–46.

    Article  PubMed  Google Scholar 

  77. Aase A, Fabbrini AE, White KM, Averill S, Gravely A, Melzer AC. Implementation of a standardized template for reporting of incidental pulmonary nodules: feasibility, acceptability, and outcomes. J Am Coll Radiol. 2020;17(2):216–23.

    Article  PubMed  Google Scholar 

  78. Shelver J, Wendt CH, McClure M, Bell B, Fabbrini AE, Rector T, et al. Effect of an automated tracking registry on the rate of tracking failure in incidental pulmonary nodules. J Am Coll Radiol. 2017;14(6):773–7.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Rai A, Doria-Rose VP, Silvestri GA, Yabroff KR. Evaluating lung cancer screening uptake, outcomes, and costs in the united states: challenges with existing data and recommendations for improvement. J Natl Cancer Inst. 2019;111(4):342–9.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Morgan L, Choi H, Reid M, Khawaja A, Mazzone PJ. Frequency of incidental findings and subsequent evaluation in low-dose computed tomographic scans for lung cancer screening. Ann Am Thorac Soc. 2017;14(9):1450–6.

    Article  PubMed  Google Scholar 

  81. Mazzone PJ, Silvestri GA, Souter LH, Caverly TJ, Kanne JP, Katki HA, et al. Screening for lung cancer: CHEST guideline and expert panel report. Chest. 2021;160(5):e427–94.

    Article  PubMed  Google Scholar 

  82. Mazzone PJ, White CS, Kazerooni EA, Smith RA, Thomson CC. Proposed Quality Metrics for Lung Cancer Screening Programs: A National Lung Cancer Roundtable Project. Chest. 2021;160(1):368–78.

    Article  PubMed  Google Scholar 

  83. Talutis SD, Childs E, Goldman AL, Knapp PE, Gupta A, Ferrao C, et al. Strategies to optimize management of incidental radiographic findings in the primary care setting: a mixed methods study. Am J Surg. 2022;223(2):297–302.

    Article  PubMed  Google Scholar 

  84. Mazzone PJ, Sears CR, Arenberg DA, Gaga M, Gould MK, Massion PP, et al. Evaluating molecular biomarkers for the early detection of lung cancer: when is a biomarker ready for clinical use? An Official American Thoracic Society Policy Statement. Am J Respir Crit Care Med. 2017;196(7):e15–29.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Baldwin DR, Gustafson J, Pickup L, Arteta C, Novotny P, Declerck J, et al. External validation of a convolutional neural network artificial intelligence tool to predict malignancy in pulmonary nodules. Thorax. 2020;75(4):306.

    Article  PubMed  Google Scholar 

  86. Massion PP, Antic S, Ather S, Arteta C, Brabec J, Chen H, et al. Assessing the accuracy of a deep learning method to risk stratify indeterminate pulmonary nodules. Am J Respir Crit Care Med. 2020;202(2):241–9.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Wang J, Gao R, Huo Y, Bao S, **ong Y, Antic SL, et al. Lung cancer detection using co-learning from chest CT images and clinical demographics. In: Proceedings of SPIE—the International Society for Optical Engineering; 2019 (0277-786X (Print)).

    Google Scholar 

  88. Ritzwoller DP, Meza R, Carroll NM, Blum-Barnett E, Burnett-Hartman AN, Greenlee RT, et al. Evaluation of population-level changes associated with the 2021 US Preventive Services Task Force lung cancer screening recommendations in community-based health care systems. JAMA Netw Open. 2021;4(10):e2128176-e.

    Article  Google Scholar 

  89. Yuan Q, Cai T, Hong C, Du M, Johnson BE, Lanuti M, et al. Performance of a machine learning algorithm using electronic health record data to identify and estimate survival in a longitudinal cohort of patients with lung cancer. JAMA Netw Open. 2021;4(7):e2114723-e.

    Article  Google Scholar 

  90. Carr LL, Zelarney P, Meadows S, Kern JA, Long MB, Kern E. Development of a cancer care summary through the electronic health record. J Oncol Pract. 2016;12(2):e231–e40.

    Article  PubMed  Google Scholar 

  91. Yeh MA-O, Wang YA-O, Yang HA-O, Bai KA-O, Wang HA-O, Li YA-O. Artificial intelligence-based prediction of lung cancer risk using nonimaging electronic medical records: deep learning approach. J Med Internet Res. 2021;23(8)(1438-8871 (Electronic)).

    Google Scholar 

  92. Seiler N, MalCarney M, et al. Coverage of clinical preventive services under the affordable care act: from law to access. Public Health Rep. 2014;129(6):526–32.

    Article  PubMed  PubMed Central  Google Scholar 

  93. Internal Revenue Service, Department of the Treasury; Employee Benefits Security Administration, Department of Labor; Office of Consumer Information and Insurance Oversight, Department of Health and Human Services. Interim final rules for group health plans and health insurance coverage relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. Interim final rules with request for comments. Fed Regist. 2010;75(116):34537–70.

    Google Scholar 

  94. Centers for Medicare & Medicaid Services. Decision memo for screening for lung cancer with low dose computed tomography (LDCT) (CAG-00439N). Published February 2015. https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&NCAId=274. Accessed 27 Jan 2022.

  95. Kaiser Family Foundation. Status of state medicaid expansion decisions: interactive map. Updated January 18, 2022. https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/. Accessed 27 Jan 2022.

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Authors and Affiliations

  1. Division of Pulmonary, Critical Care & Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Janelle V. Baptiste

  2. Jane and Leonard Korman Respiratory Institute, Division of Pulmonary and Critical Care Medicine, Thomas Jefferson University, Philadelphia, PA, USA

    Julie Barta

  3. Pulmonary, Critical Care, Sleep Medicine, Massachusetts General Hospital/Beth Israel Deaconess Medical Center Combined Fellowship Program, Boston, MA, USA

    Sahil Patel

  4. Mt Auburn Hospital, Harvard Medical School, Cambridge, MA, USA

    Carey C. Thomson

  5. Medicine, Interventional Pulmonology, University of South Florida Morsani College of Medicine, Tampa, FL, USA

    Melissa Tukey

  6. Medicine and Cardiothoracic Surgery, Pulmonary, Critical Care and Sleep Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, USA

    Gaetane Michaud

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  1. Janelle V. Baptiste
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  2. Julie Barta
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  3. Sahil Patel
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  4. Carey C. Thomson
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  5. Melissa Tukey
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  6. Gaetane Michaud
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Correspondence to Janelle V. Baptiste .

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Editors and Affiliations

  1. Division of PulmonaryCritical Care & Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Janelle V. Baptiste

  2. Division of PulmonaryCritical Care & Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Richard M. Schwartzstein

  3. Division of Pulmonary and Critical Care Medicine, Mt Auburn Hospital/Beth Israel Lahey Health, Harvard Medical School, Boston, MA, USA

    Carey C. Thomson

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Baptiste, J.V., Barta, J., Patel, S., Thomson, C.C., Tukey, M., Michaud, G. (2022). Implementing Lung Cancer Screening in Clinical Practice. In: Baptiste, J.V., Schwartzstein, R.M., Thomson, C.C. (eds) Lung Cancer Screening. Springer, Cham. https://doi.org/10.1007/978-3-031-10662-0_4

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