Screening Adherence in the Veterans Administration Lung Cancer Screening Demonstration Project.

Screening Adherence in the Veterans Administration Lung Cancer Screening Demonstration Project. Chest. 2020 May 18;: Authors: Tanner NT, Brasher PB, Wojciechowski B, Ward R, Slatore C, Gebregziabher M, Silvestri GA Abstract BACKGROUND: Adherence to annual low-dose computed tomography was 95% in the National Lung Screening Trial and must be replicated in order to achieve mortality benefit from screening. RESEARCH QUESTION: Determine adherence rates within the Veterans Affairs Lung Cancer Screening Demonstration Project (LCSDP) and identify factors predictive of adherence. STUDY DESIGN: and Methods: A secondary data analysis of the LCSDP conducted at 8 VA medical centers was performed to determine adherence to follow-up imaging and determine factors predictive of adherence. RESULTS: A total of 2103 patients were screened. The adherence to screening from baseline scan (T0) to first follow-up scan (T1) was 82.2% and 65.2% from T1 to second follow-up scan (T2). Logistic regression modeling showed that presence of a nodule and the site of lung cancer screening were predictive of adherence. After three rounds of screening, 1343 (64%) that underwent baseline screening underwent both subsequent annual LDCT scans, 225 (11%) only had one subsequent LDCT, 0.4% did not have a T1 scan but did have a T2 scan, 70 (3%) died, and 36 (1.7%) were diagnosed with lung cancer. There was significant variation in screening adherence a...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research