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Leonard Henry



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    PD01 - Poster Discussion Session (ID 4)

    • Event: NACLC 2019
    • Type: Poster Discussion Session
    • Track:
    • Presentations: 1
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      PD01.18 - Successful Implementation of a Free Lung Cancer Screening Program in a Rural Tertiary Care Hospital Setting. (ID 93)

      15:45 - 16:45  |  Author(s): Leonard Henry

      • Abstract

      Background:
      Lung cancer is the leading cause of cancer related death in the United States. Stage at the time of diagnosis has a significant effect on overall survival. According to the National Lung Screening Trial, a significant mortality benefit has been reported for patients at high risk for lung cancer screened with serial low-dose CT. In order to increase accessibility of screening in a rural tertiary care setting, we developed a free lung cancer screening program for patients meeting National Comprehensive Cancer Network high-risk criteria.


      Method:
      A retrospective chart review was conducted on 935 patients participating in a free low dose CT lung cancer screening program consecutively over a two year period. The setting was a single community health system in rural northern Indiana. Based on the Lung Imaging Reporting and Diagnostic System (LRADS), patients were divided into four categories. Clinicopathology was obtained for all LRADS 3 and 4 patients. Demographic criteria was collected on all patients.


      Results:
      Of 953 patients screened 502 (52.6%) were male. The median age was 62.8 years old (61.4 males and 62.8 females). The median number of pack years smoked was 49.0 (52.2 males and 45.5 women). The number of patients in LRADS groups 1, 2, 3, and 4 were 269 (28.2%), 486 (51.0%), 113 (11.9%), and 81 (8.5%) respectively. Biopsies were performed on 30 patients from group 4. In total, there were 14 patients diagnosed with lung cancer. 8 of the 14 cancers were detected in early stages. 6 were treated with stereotactic radiation therapy (SBRT) and 3 with surgery.


      Conclusion:
      A free lung cancer screening program can be implemented successfully the rural tertiary care hospital setting.