About: Factors influencing lung cancer screening completion following participation in shared decision-making: A retrospective study in a U.S. academic health system

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Factors influencing lung cancer screening completion following participation in shared decision-making: A retrospective study in a U.S. academic health system
Creator	Zhang, Lu Ashby, Morgan Gimbel, Ronald Hanna, Jeffrey Harwood, Katon Lumsden, Brandon Rennert, Lior Tyler, Lauren
source	Elsevier; Medline; PMC
abstract	PURPOSE: : Shared decision making (SDM) between patients and designated health professionals is recommended by several professional organizations prior to lung cancer screening by low dose CT (LDCT). This study seeks to identify factors, including characteristics of patients and referring clinicians, that influence LDCT screening completion following participation in SDM. MATERIALS AND METHODS: : This retrospective study consisted of n=171 patients eligible for LDCT screening and who participated in SDM between 2016 and 2017 in one of two sites in Prisma Health, an academic health care delivery system in South Carolina. Patient characteristics included age, sex, race, body mass index, marital status, insurance, smoking status and history, family history of lung cancer, SDM site, and distance to screening site. Characteristics of referred clinicians included age, sex, race, specialty, years of practice, education, and residency. Descriptive statistics and multivariable generalized linear mixed models were used to compare effects of patient and referring clinician characteristics on LDCT completion. RESULTS: : A total of 152 patients (89%) completed LDCT screening after participation in SDM. SDM site (p=0.02), longer distances to the screening site (p=0.03), referrals from internal medicine clinicians (p=0.03), and referrals from younger clinicians (p=0.01) and from those with less years of experience (p=0.02) were significantly associated with a lower likelihood of screening completion. CONCLUSIONS: : Several factors significantly associated with screening completion were identified. This information can assist with development of interventions to improve communication and decision-making between patients, clinicians, and SDM health professionals, and inform design of targeted decision aids embedded into SDM procedures.
has issue date	2020-07-17(xsd:dateTime)
bibo:doi	10.1016/j.ctarc.2020.100198
bibo:pmid	32736218
has license	no-cc
sha1sum (hex)	f973764e191f9449de5ed70790c7b4a77bcc2412
schema:url	https://doi.org/10.1016/j.ctarc.2020.100198
resource representing a document's title	Factors influencing lung cancer screening completion following participation in shared decision-making: A retrospective study in a U.S. academic health system
has PubMed Central identifier	PMC7366080
has PubMed identifier	32736218
schema:publication	Cancer Treat Res Commun
resource representing a document's body	covid:f973764e191f9449de5ed70790c7b4a77bcc2412#body_text
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