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2024 World Conference on Lung Cancer (WCLC) - Post ...
P2.04B.14 Barriers to Maximal Screening Impact in ...
P2.04B.14 Barriers to Maximal Screening Impact in Persons Diagnosed with Lung Cancer in a Prospective Cohort.
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The study by Osarenren Ogbeide examines the barriers to maximizing the impact of lung cancer screening (LCS) in a prospective cohort of individuals diagnosed with lung cancer at Baptist Memorial Health Care system, focusing on patients diagnosed between 2015 and 2023. Lung cancer is a significant health issue, responsible for 12% of all cancers and 20% of cancer deaths in the U.S. Early detection through annual screening, as recommended by the U.S. Preventive Services Task Force, aims to improve survival outcomes. However, participation remains low, with only 5-10% of eligible individuals in the U.S. undergoing screening.<br /><br />The study categorizes patients into five cohorts: diagnosed lung cancer patients, LCS eligible patients, those who have been screened at least once, those who quit smoking before LCS, and those with multiple LCS episodes. Out of 3,074 diagnosed patients, only 1,686 (55%) were eligible for LCS; of these, a mere 420 (14%) participated in screening. Among the screened, a small subset (109) quit smoking before their first screening, and 131 underwent multiple LCS episodes.<br /><br />Results indicate that the most significant barrier to maximizing screening impact is the eligibility criteria, which disqualify 45% of lung cancer patients from LCS. Access issues form the second major barrier, with only 24% of eligible individuals actually getting screened. The study concludes that patients engaging in multiple LCS episodes exhibit the best survival outcomes, suggesting a need to revise eligibility criteria and improve access to increase participation in screening programs and ultimately enhance survival rates.
Asset Subtitle
Osa Ogbeide
Meta Tag
Speaker
Osa Ogbeide
Topic
Screening & Early Detection
Keywords
lung cancer screening
barriers
eligibility criteria
Baptist Memorial Health Care
U.S. Preventive Services Task Force
screening participation
early detection
access issues
survival outcomes
smoking cessation
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