Outreach to primary care patients in lung cancer screening: A randomized controlled trial

Melissa DiCarlo, Pamela Myers, Constantine Daskalakis, Ayako Shimada, Sarah E. Hegarty, Charnita Zeigler-Johnson, Hee Soon Juon, Julie A. Barta, Ronald E. Myers

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Current guidelines recommend annual lung cancer screening (LCS), but rates are low. The current study evaluated strategies to increase LCS. This study was a randomized controlled trial designed to evaluate the effects of patient outreach and shared decision making (SDM) about LCS among patients in four primary care practices. Patients 50 to 80 years of age and at high risk for lung cancer were randomized to Outreach Contact plus Decision Counseling (OC-DC, n = 314), Outreach Contact alone (OC, n = 314), or usual care (UC, n = 1748). LCS was significantly higher in the combined OC/OC-DC group versus UC controls (5.5% vs. 1.8%; hazard ratio, HR = 3.28; 95% confidence interval, CI: 1.98 to 5.41; p = 0.001). LCS was higher in the OC-DC group than in the OC group, although not significantly so (7% vs. 4%, respectively; HR = 1.75; 95% CI: 0.86 to 3.55; p = 0.123). LCS referral/scheduling was also significantly higher in the OC/OC-DC group compared to controls (11% v. 5%; odds ratio, OR = 2.02; p = 0.001). We observed a similar trend for appointment keeping, but the effect was not statistically significant (86% v. 76%; OR = 1.93; p = 0.351). Outreach contacts significantly increased LCS among primary care patients. Research is needed to assess the additional value of SDM on screening uptake.

Original languageEnglish
Article number107069
Pages (from-to)107069
JournalPreventive Medicine
Volume159
DOIs
StatePublished - Jun 2022

Keywords

  • Lung cancer screening
  • Patient outreach
  • Shared decision making

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