Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach

Alvie Ahsan; Eva Zimmerman; Elisa Marie Rodriguez; Christy Widman; Deborah Oates Erwin; Frances Georgette Saad-Harfouche; Martin Christopher Mahoney

doi:doi:10.11648/j.jctr.20190701.11

Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach

Alvie Ahsan, Eva Zimmerman, Elisa Marie Rodriguez, Christy Widman, Deborah Oates Erwin, Frances Georgette Saad-Harfouche, Martin Christopher Mahoney

Published in Journal of Cancer Treatment and Research (Volume 7, Issue 1)

Received: 15 January 2019 Accepted: 16 February 2019 Published: 11 March 2019

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Abstract

While the National Lung Screening Trials (NLST) demonstrated the efficacy of low dose chest computed tomography (LDCT) for lung cancer early detection, utilization of LDCT remains suboptimal. The purpose of this formative study was to understand attitudes and beliefs among primary care clinicians regarding LDCT lung cancer screening as well as to assess gaps in knowledge to identify opportunities for reinforcing personalized lung cancer screening that is accessible and evidence-based. A 20-item closed and open-ended interview was conducted with a targeted group of primary care clinicians (38 respondents; 33 physicians and 5 NPs/PAs). Quantitative data were analyzed using descriptive statistics while qualitative data was analyzed thematically. Although 50.0% of clinicians characterized LDCT as “very effective”, only 47.4% of clinicians reported that they frequently or often recommend LDCT as a lung cancer screening tool. Respondents were generally unconcerned with the high rate of false positive test results. The majority of clinicians were referring patients for LDCT based on smoking history, however other factors were also considered (e.g., health status, sex, family history, past medical history, and occupational exposures.) The majority of respondents were knowledgeable about the use of LDCT as a lung screening tool but were unsure about its effectiveness for lung cancer early detection. Some clinicians are recommending patients for LDCT based on factors which are inconsistent with evidence-based guidelines.

Published in	Journal of Cancer Treatment and Research (Volume 7, Issue 1)
DOI	10.11648/j.jctr.20190701.11
Page(s)	1-8
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Lung Cancer Screening, Early Detection, Clinician Education, Primary Care, Provider Perception

References

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APA Style

Alvie Ahsan, Eva Zimmerman, Elisa Marie Rodriguez, Christy Widman, Deborah Oates Erwin, et al. (2019). Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. Journal of Cancer Treatment and Research, 7(1), 1-8. https://doi.org/10.11648/j.jctr.20190701.11

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ACS Style

Alvie Ahsan; Eva Zimmerman; Elisa Marie Rodriguez; Christy Widman; Deborah Oates Erwin, et al. Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. J. Cancer Treat. Res. 2019, 7(1), 1-8. doi: 10.11648/j.jctr.20190701.11

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AMA Style

Alvie Ahsan, Eva Zimmerman, Elisa Marie Rodriguez, Christy Widman, Deborah Oates Erwin, et al. Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. J Cancer Treat Res. 2019;7(1):1-8. doi: 10.11648/j.jctr.20190701.11

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@article{10.11648/j.jctr.20190701.11,
  author = {Alvie Ahsan and Eva Zimmerman and Elisa Marie Rodriguez and Christy Widman and Deborah Oates Erwin and Frances Georgette Saad-Harfouche and Martin Christopher Mahoney},
  title = {Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach},
  journal = {Journal of Cancer Treatment and Research},
  volume = {7},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.jctr.20190701.11},
  url = {https://doi.org/10.11648/j.jctr.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20190701.11},
  abstract = {While the National Lung Screening Trials (NLST) demonstrated the efficacy of low dose chest computed tomography (LDCT) for lung cancer early detection, utilization of LDCT remains suboptimal. The purpose of this formative study was to understand attitudes and beliefs among primary care clinicians regarding LDCT lung cancer screening as well as to assess gaps in knowledge to identify opportunities for reinforcing personalized lung cancer screening that is accessible and evidence-based. A 20-item closed and open-ended interview was conducted with a targeted group of primary care clinicians (38 respondents; 33 physicians and 5 NPs/PAs). Quantitative data were analyzed using descriptive statistics while qualitative data was analyzed thematically. Although 50.0% of clinicians characterized LDCT as “very effective”, only 47.4% of clinicians reported that they frequently or often recommend LDCT as a lung cancer screening tool. Respondents were generally unconcerned with the high rate of false positive test results. The majority of clinicians were referring patients for LDCT based on smoking history, however other factors were also considered (e.g., health status, sex, family history, past medical history, and occupational exposures.) The majority of respondents were knowledgeable about the use of LDCT as a lung screening tool but were unsure about its effectiveness for lung cancer early detection. Some clinicians are recommending patients for LDCT based on factors which are inconsistent with evidence-based guidelines.},
 year = {2019}
}

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TY  - JOUR
T1  - Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach
AU  - Alvie Ahsan
AU  - Eva Zimmerman
AU  - Elisa Marie Rodriguez
AU  - Christy Widman
AU  - Deborah Oates Erwin
AU  - Frances Georgette Saad-Harfouche
AU  - Martin Christopher Mahoney
Y1  - 2019/03/11
PY  - 2019
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DO  - 10.11648/j.jctr.20190701.11
T2  - Journal of Cancer Treatment and Research
JF  - Journal of Cancer Treatment and Research
JO  - Journal of Cancer Treatment and Research
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PB  - Science Publishing Group
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UR  - https://doi.org/10.11648/j.jctr.20190701.11
AB  - While the National Lung Screening Trials (NLST) demonstrated the efficacy of low dose chest computed tomography (LDCT) for lung cancer early detection, utilization of LDCT remains suboptimal. The purpose of this formative study was to understand attitudes and beliefs among primary care clinicians regarding LDCT lung cancer screening as well as to assess gaps in knowledge to identify opportunities for reinforcing personalized lung cancer screening that is accessible and evidence-based. A 20-item closed and open-ended interview was conducted with a targeted group of primary care clinicians (38 respondents; 33 physicians and 5 NPs/PAs). Quantitative data were analyzed using descriptive statistics while qualitative data was analyzed thematically. Although 50.0% of clinicians characterized LDCT as “very effective”, only 47.4% of clinicians reported that they frequently or often recommend LDCT as a lung cancer screening tool. Respondents were generally unconcerned with the high rate of false positive test results. The majority of clinicians were referring patients for LDCT based on smoking history, however other factors were also considered (e.g., health status, sex, family history, past medical history, and occupational exposures.) The majority of respondents were knowledgeable about the use of LDCT as a lung screening tool but were unsure about its effectiveness for lung cancer early detection. Some clinicians are recommending patients for LDCT based on factors which are inconsistent with evidence-based guidelines.
VL  - 7
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Author Information

Alvie Ahsan

Jacobs School of Medicine and Biomedical Sciences, State University at New York at Buffalo, Buffalo, USA
Eva Zimmerman

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA
Elisa Marie Rodriguez

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA
Christy Widman

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA
Deborah Oates Erwin

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA
Frances Georgette Saad-Harfouche

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA
Martin Christopher Mahoney

Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, USA

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APA Style

Alvie Ahsan, Eva Zimmerman, Elisa Marie Rodriguez, Christy Widman, Deborah Oates Erwin, et al. (2019). Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. Journal of Cancer Treatment and Research, 7(1), 1-8. https://doi.org/10.11648/j.jctr.20190701.11

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ACS Style

Alvie Ahsan; Eva Zimmerman; Elisa Marie Rodriguez; Christy Widman; Deborah Oates Erwin, et al. Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. J. Cancer Treat. Res. 2019, 7(1), 1-8. doi: 10.11648/j.jctr.20190701.11

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AMA Style

Alvie Ahsan, Eva Zimmerman, Elisa Marie Rodriguez, Christy Widman, Deborah Oates Erwin, et al. Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach. J Cancer Treat Res. 2019;7(1):1-8. doi: 10.11648/j.jctr.20190701.11

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@article{10.11648/j.jctr.20190701.11,
  author = {Alvie Ahsan and Eva Zimmerman and Elisa Marie Rodriguez and Christy Widman and Deborah Oates Erwin and Frances Georgette Saad-Harfouche and Martin Christopher Mahoney},
  title = {Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach},
  journal = {Journal of Cancer Treatment and Research},
  volume = {7},
  number = {1},
  pages = {1-8},
  doi = {10.11648/j.jctr.20190701.11},
  url = {https://doi.org/10.11648/j.jctr.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20190701.11},
  abstract = {While the National Lung Screening Trials (NLST) demonstrated the efficacy of low dose chest computed tomography (LDCT) for lung cancer early detection, utilization of LDCT remains suboptimal. The purpose of this formative study was to understand attitudes and beliefs among primary care clinicians regarding LDCT lung cancer screening as well as to assess gaps in knowledge to identify opportunities for reinforcing personalized lung cancer screening that is accessible and evidence-based. A 20-item closed and open-ended interview was conducted with a targeted group of primary care clinicians (38 respondents; 33 physicians and 5 NPs/PAs). Quantitative data were analyzed using descriptive statistics while qualitative data was analyzed thematically. Although 50.0% of clinicians characterized LDCT as “very effective”, only 47.4% of clinicians reported that they frequently or often recommend LDCT as a lung cancer screening tool. Respondents were generally unconcerned with the high rate of false positive test results. The majority of clinicians were referring patients for LDCT based on smoking history, however other factors were also considered (e.g., health status, sex, family history, past medical history, and occupational exposures.) The majority of respondents were knowledgeable about the use of LDCT as a lung screening tool but were unsure about its effectiveness for lung cancer early detection. Some clinicians are recommending patients for LDCT based on factors which are inconsistent with evidence-based guidelines.},
 year = {2019}
}

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TY  - JOUR
T1  - Examining Lung Cancer Screening Behaviors in the Primary Care Setting: A Mixed Methods Approach
AU  - Alvie Ahsan
AU  - Eva Zimmerman
AU  - Elisa Marie Rodriguez
AU  - Christy Widman
AU  - Deborah Oates Erwin
AU  - Frances Georgette Saad-Harfouche
AU  - Martin Christopher Mahoney
Y1  - 2019/03/11
PY  - 2019
N1  - https://doi.org/10.11648/j.jctr.20190701.11
DO  - 10.11648/j.jctr.20190701.11
T2  - Journal of Cancer Treatment and Research
JF  - Journal of Cancer Treatment and Research
JO  - Journal of Cancer Treatment and Research
SP  - 1
EP  - 8
PB  - Science Publishing Group
SN  - 2376-7790
UR  - https://doi.org/10.11648/j.jctr.20190701.11
AB  - While the National Lung Screening Trials (NLST) demonstrated the efficacy of low dose chest computed tomography (LDCT) for lung cancer early detection, utilization of LDCT remains suboptimal. The purpose of this formative study was to understand attitudes and beliefs among primary care clinicians regarding LDCT lung cancer screening as well as to assess gaps in knowledge to identify opportunities for reinforcing personalized lung cancer screening that is accessible and evidence-based. A 20-item closed and open-ended interview was conducted with a targeted group of primary care clinicians (38 respondents; 33 physicians and 5 NPs/PAs). Quantitative data were analyzed using descriptive statistics while qualitative data was analyzed thematically. Although 50.0% of clinicians characterized LDCT as “very effective”, only 47.4% of clinicians reported that they frequently or often recommend LDCT as a lung cancer screening tool. Respondents were generally unconcerned with the high rate of false positive test results. The majority of clinicians were referring patients for LDCT based on smoking history, however other factors were also considered (e.g., health status, sex, family history, past medical history, and occupational exposures.) The majority of respondents were knowledgeable about the use of LDCT as a lung screening tool but were unsure about its effectiveness for lung cancer early detection. Some clinicians are recommending patients for LDCT based on factors which are inconsistent with evidence-based guidelines.
VL  - 7
IS  - 1
ER  -

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