Publication Abstract

Authors: Gould MK, Sakoda LC, Ritzwoller DP, Simoff MJ, Neslund-Dudas CM, Kushi LH, Carter-Harris L, Feigelson HS, Minowada G, Doria-Rose VP

Title: Monitoring Lung Cancer Screening Utilization and Outcomes in Four Cancer Research Network Sites.

Journal: Ann Am Thorac Soc :-

Date: 2017 Jul 06

Abstract: RATIONALE: Lung cancer screening registries can monitor screening outcomes and improve quality of care. OBJECTIVES: To describe nascent lung cancer screening programs and share efficient data collection approaches for mandatory registry reporting in four integrated health care systems of the NCI-funded Cancer Research Network. METHODS: We documented the distinctive characteristics of lung cancer screening programs, provided examples of strategies to facilitate data collection, and described early challenges and possible solutions. In addition, we reported preliminary data on utilization and outcomes of screening with low-dose computed tomography (LDCT) at each of the participating sites. RESULTS: Programs varied in approaches to confirm patient eligibility, order screening LDCT scans, and coordinate follow-up care. Most data elements were collected from structured fields in electronic health records, but sites also made use of standardized order templates, local procedure codes, identifiable hash tags in radiology reports, and natural language processing algorithms. Common challenges included incomplete documentation of tobacco smoking history, difficulty distinguishing between scans performed for screening versus diagnosis or surveillance, and variable adherence with use of standardized templates. Adherence with eligibility criteria and the accuracy and completeness of data collection appeared to depend at least partly on availability of personnel and other resources to support the successful implementation of screening. CONCLUSIONS: To maximize effectiveness of lung cancer screening, minimize the burden of data collection, and facilitate research and quality improvement, clinical workflow and information technology should be purposefully designed to ensure patients meet eligibility criteria and receive appropriate follow-up testing.