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April Plank



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    P2.11 - Screening and Early Detection (Not CME Accredited Session) (ID 960)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall
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      P2.11-18 - A Comprehensive Lung Cancer Screening Program:  5 Years in Review (ID 12241)

      16:45 - 18:00  |  Presenting Author(s): April Plank

      • Abstract
      • Slides

      Background

      Lung cancer screening provides an opportunity for early detection, improved survival and tobacco cessation. The purpose of this report is to provide outcome measures and lessons learned during the first five years at Stony Brook's Center for Lung Cancer Screening and Prevention.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      The screening programs’ REDCap database was queried for the results. Demographic information, CAT scan data, lung cancer diagnoses, adherence rates, and tobacco cessation rates were computed.

      4c3880bb027f159e801041b1021e88e8 Result

      TCLCSP has enrolled 825 patients. 26 patients (3.15%) were diagnosed with lung cancer.

      Table 1:

      DISTRIBUTION OF LUNG CANCER CELL TYPE AND STAGE. N=26 LUNG CANCERS OF 825 PATIENTS

      Adenocarcinoma

      Squamous Cell

      Carcinoid

      Small Cell Carcinoma

      Number(%)

      21 (80)

      3 (12)

      1 (3.5)

      1 (3.54)

      1A n(%)

      16 (62)

      3 (12)

      1 (3.5)

      1 (3.5)

      1B n(%)

      1 (3.5)

      0 (0)

      0 (0)

      0 (0)

      2A n(%)

      3 (12)

      0 (0)

      0 (0)

      0 (0)

      2B n(%)

      0 (0)

      0 (0)

      0 (0)

      0 (0)

      3A n(%)

      1 (3.5)

      0 (0)

      0 (0)

      0 (0)

      3B n(%)

      0 (0)

      0 (0)

      0 (0)

      0 (0)

      4 n(%)

      0 (0)

      0 (0)

      0 (0)

      0 (0)

      Demographic, CAT scan, Adherence and Tobacco cessation rates are reported in Table 2.

      Table 2: Demographic characteristics and results:

      Demographic Variable

      % of patients

      Gender – Male/Female

      60%/40%

      Current Smoker

      42%

      NCCN 1 Criteria

      78%

      NCCN 2 Criteria

      22%

      Mean Age

      60

      Number of Pack Years

      46 mean +/- 24 SD

      History of Lung Disease

      23%

      History of other cancer

      27%

      Family history of lung cancer

      26%

      LUNG RAD 1

      28%

      LUNG RAD 2

      51%

      LUNG RAD 3

      15%

      LUNG RAD 4

      6%

      CAT scan with incidental findings

      45%

      Screening patients diagnosed with LUNG CANCER

      3.15%

      Screening patients diagnosed with other (than lung) cancer

      .36%

      Adherence (CT done within 3 months of recommended date) Rates

      86%

      Tobacco Reduction (Self reported decreased smoking rates) Rates

      55%

      Tobacco Cessation (Self reported tobacco cessation for 6 months) Rates

      35%

      Lessons Learned:

      Program Growth and Maintenance:

      Program growth has a direct relation to advertisement, community education and satisfactory reviews from PCPs.

      Low cost poster and brochure advertisements are effective.

      Database is key.

      Adherence:

      Successful adherence requires education, positive experience, distress management and a patient coordinator.

      Tobacco Cessation:

      Tobacco cessation counseling success is dose dependent & telephone counseling provides added opportunities.

      Tobacco reduction plans are a viable option.

      8eea62084ca7e541d918e823422bd82e Conclusion

      Lung cancer screening program success is achievable with ongoing outcome reviews and program revisions as needed. The lung cancer screening patient population will benefit from shared program information and ongoing research.

      6f8b794f3246b0c1e1780bb4d4d5dc53

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