2023 World Conference on Lung Cancer (Posters)-P1.18. Coordinating Lung Cancer Screening with Screening Mammography: The CALM Study

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The CALM study presented in this session at WCLC 2023 focused on the coordination of lung cancer screening (LCS) with screening mammography to increase the uptake of LCS among breast cancer screening participants. Despite clear scientific evidence of the benefits of LCS and recommendations from professional societies, the uptake of LCS remains low, particularly among women. In a recent study, only 7.9% of eligible women reported undergoing LCS compared to 58% who reported undergoing screening mammography. <br /><br />The CALM study evaluated mammography participants at two academic hospitals between November 2019 and December 2022 for potential LCS eligibility. Various methods were used to identify eligible participants, including electronic health record reports, outreach to primary care providers, advertisements, and surveys completed at the time of mammography. Patients who were already enrolled in LCS or had metastatic malignancy were excluded. <br /><br />Out of the 32,165 mammography participants reviewed, 1569 women were identified as eligible for LCS. These women and their referring providers were notified, and outreach was conducted to confirm eligibility and offer LCS. Among these eligible participants, 69% had not previously undergone LCS. <br /><br />The study observed a significant increase in the number of LCS exams among women during the study period at both institutions. The baseline LCS scans increased from 12 and 28 scans per month at the two institutions respectively in the pre-study period to 18 and 38 scans per month during the study period. However, there was no significant change in the number of baseline scans among men. <br /><br />The study concluded that using screening mammography programs to identify women eligible for LCS is a unique opportunity to increase LCS among individuals who are already engaged in screening behaviors. Although the study did not focus on men and LCS, the intervention has the potential to increase awareness about lung cancer screening among women, who typically make the majority of health care decisions in their families, thereby potentially increasing screening rates among both men and women.

Asset Subtitle

Robert Smith

Meta Tag

Speaker Robert Smith

Topic Screening & Early Detection: Recruitment & Screening Uptake

Keywords

CALM study

lung cancer screening

screening mammography

uptake of LCS

breast cancer screening

eligible women

scientific evidence

professional societies

academic hospitals

metastatic malignancy