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Michael Reiter
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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 | Author(s): Michael Reiter
- Abstract
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.
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.
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.