Optimizing Lung Cancer Screening with Low-Dose Computed Tomography in a Primary Care Setting

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Asante Gregerson (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Cheryl Wicker

Abstract: Background: Lung cancer is the leading cause of cancer-related death worldwide. Early detection and diagnosis of lung cancer through low-dose computed tomography (LDCT) scanning has been shown to increase treatment options and decrease overall mortality. Despite lung cancer screening (LCS) recommendations from the United States Preventive Services Task Force (USPSTF) and evidence LDCT screening can promote early diagnosis, decrease mortality, and improve outcomes for people with lung cancer, referral rates for LDCT in eligible patients remain low. Purpose: The purpose of this program evaluation project is to examine the current LCS practices at a designated primary care clinical site in an effort to optimize provider recognition of patients at risk for lung cancer who meet LDCT screening eligibility. The specific aims are to assess levels of provider knowledge on the updated USPSTF LCS recommendations, to determine barriers to LCS within the practice, and to make evidence-based recommendations that may increase LDCT LCS referrals for eligible patients. Methods: A plan-do-study-act (PDSA) approach was used to conduct the project. Data was obtained through provider interviews. Results: Providers had low knowledge of LCS recommendations and were not following any specified LCS guidelines. Conclusion and Recommendations: Ongoing provider education on current LCS guidelines, reminders, and use of a LCS nurse navigator to facilitate the referral and follow-up processes are recommended for this practice. Further investigation could include assessing whether the site’s current smoking history collection practices result in accurate data, and interventions to determine patient-perceived barriers to LCS.

Optimizing Lung Cancer Screening with Low-Dose Computed Tomography in a Primary Care Setting
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Created on 2/1/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

lung cancer screening, guidelines, provider, knowledge, education, nurse navigator, adherence, barrier, low dose computed tomography, LDCT, perceptions, attitudes, primary care

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