2023 World Conference on Lung Cancer (Posters)-EP04.06. Impact of a Navigational Program on Lung Cancer Screening at a Community Health Center Serving an Urban Diverse Population

EP04.06. Impact of a Navigational Program on Lung Cancer Screening at a Community Health Center Serving an Urban Diverse Population - PDF(Slides)

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Lung cancer is a leading cause of cancer death globally, but the implementation of lung cancer screening with low-dose CT (LDCT) remains low. This study aimed to identify barriers to lung cancer screening in an urban community health center and evaluate the impact of a patient navigation program on screening rates. The study found that lack of patient awareness of the screening process was a major barrier. <br /><br />A bilingual patient navigator was integrated into routine clinic practice, and their responsibilities included sending LDCT reminders to providers, ensuring correct LDCT orders, guiding patients through the screening process, and following up on abnormal results. The study collected data from January to December 2022. <br /><br />The baseline characteristics of eligible patients showed that over half were not aware of the screening process or that it was covered by insurance. Nearly half of the eligible population were non-English speaking, and 80% resided in cities with low per-capita incomes. <br /><br />With the implementation of the navigational program, 24% of eligible patients underwent LDCT, and the LDCT completion rate was 58.5%. This represented a significant increase in the number of LDCTs ordered and an improvement in screening rates compared to the state and national rates. <br /><br />Of the LDCTs performed, 10% showed nodules in the high-risk LUNG RADS categories. The study also found that a higher proportion of English-speaking patients completed LDCTs, highlighting the importance of language barriers in implementation. <br /><br />In conclusion, this study demonstrated that a community-based navigational program increased lung cancer screening rates in an urban, diverse population. Lack of patient awareness was identified as a major barrier, and the program successfully addressed this barrier and improved screening rates. The study highlights the importance of patient navigation in overcoming barriers to lung cancer screening and emphasizes the need for increased patient education and awareness.

Asset Subtitle

Hina Khan

Meta Tag

Speaker Hina Khan

Topic Screening & Early Detection: Recruitment & Screening Uptake

Keywords

lung cancer

cancer death

low-dose CT

barriers

patient navigation program

screening rates

patient awareness

eligible patients

navigational program

patient education