Translating new lung cancer screening guidelines into practice: The experience of one community hospital

Christy J.W. Ledford, Breanna L. Gawrys, Jessica L. Wall, Patrick D. Saas, Dean Seehusen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: In December 2013 the US Preventive Services Task Force issued a recommendation for lung cancer screening with annual low-dose computed tomography (LDCT). As screening guidelines emerge and change, this creates an environment for studying the translation of these guidelines into practice. This study assessed how these guidelines were implemented in a community hospital setting and the resulting radiologic findings. Methods: This observational study examined the radiologic outcomes of LDCT lung cancer screening guidelines and the resulting notification. Results: During the first year after publication of the guidelines, 94 screening LDCT scans were ordered. Of these, 21 (22.3%) did not meet the criteria outlined by the US Preventive Services Task Force. Among the 72 cases that did met published criteria, 65.3% of scans detected nodules, and among the remaining 35.6%, half had another clinically significant finding. Discussion: This study shows that new lung cancer screening guidelines, as implemented at a community hospital, resulted in radiologic findings that required follow-up in more than half of patients. Clinicians must be aware of these potential incidental findings when talking to patients about the decision to order screenings.

Original languageEnglish (US)
Pages (from-to)152-155
Number of pages4
JournalJournal of the American Board of Family Medicine
Volume29
Issue number1
DOIs
StatePublished - Jan 1 2016

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Community Hospital
Early Detection of Cancer
Practice Guidelines
Lung Neoplasms
Guidelines
Tomography
Advisory Committees
Incidental Findings
Observational Studies
Publications

Keywords

  • Cancer Screening
  • Decision Making
  • Lung Cancer
  • Patient-centered Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Cite this

Translating new lung cancer screening guidelines into practice : The experience of one community hospital. / Ledford, Christy J.W.; Gawrys, Breanna L.; Wall, Jessica L.; Saas, Patrick D.; Seehusen, Dean.

In: Journal of the American Board of Family Medicine, Vol. 29, No. 1, 01.01.2016, p. 152-155.

Research output: Contribution to journalArticle

Ledford, Christy J.W. ; Gawrys, Breanna L. ; Wall, Jessica L. ; Saas, Patrick D. ; Seehusen, Dean. / Translating new lung cancer screening guidelines into practice : The experience of one community hospital. In: Journal of the American Board of Family Medicine. 2016 ; Vol. 29, No. 1. pp. 152-155.
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