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  P3.11 - Screening and Early Detection (Not CME Accredited Session) (ID 977)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall

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    P3.11-19 - Improving Lung Cancer Screening Rates in an Underserved Outpatient Clinic (ID 13068)

    12:00 - 13:30  |  Author(s): Ana Velazquez
    • Abstract
    • Slides

    Background
    

    Lung cancer is the leading cause of cancer death worldwide and in the United States. Despite its massive mortality, no screening method was available until this decade. The National Lung Cancer Screening Trial (NLST) demonstrated in 2011 that lung cancer screening in high risks patients using low dose chest computed tomography (LDCT) resulted in a 20% relative reduction in lung cancer-related mortality compared to chest X-Ray screening. Hence, the USPSTF recommended (grade B) in December 2013 annual LDCT for lung cancer screening in adults age 55-80 years, who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    We performed a retrospective review of current and former smokers evaluated by a primary care provider over a six month period in 2017 in our inner city community health center. Patients that met the USPSTF criteria for lung cancer screening were selected and data regarding LDCT ordering and completion was collected. Microsoft Excel was used for data tabulation and analysis. We aim to improve our screening compliance by 20% in 6 months by implementing electronic medical records reminders, staff educational sessions, and telephone reminders to patients.

    4c3880bb027f159e801041b1021e88e8 Result
    

    577 patients were identified and total of 108 patients met the USPSTF criteria for screening. A total of 287 patients were excluded as the numbers of pack per year were unable to be calculated. Of the 108 patients, 67% were current smoker and 33% former smokers. The mean age was 65 with 54% male and 46% female. A total of 57% of the patients identified as Hispanic or Latino and 70% of selected English as their primary language. A LDCT was ordered by a physician in 32% (N=35) of cases and completed in only 18 patients, resulting in a net rate of screening compliance of 17%. Among those ordered, 17 patients (48.5%) did not complete their LDCT due to multiple reasons. Appointment no-show was the most common reason reported in 73% of cases. Other reasons included insurance denial in 12%, or patient cancellation or re-scheduling in 12%.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    By highlighting our poor adherence to lung cancer screening guidelines, we hope to provide improve our screening rates and provide a valuable approach for other institutions.

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