Lung Cancer Screening Protocol

Washington University School of Medicine193 enrolled

Overview

The successful implementation of lung cancer screening across diverse setting requires working with the community and primary care practices. Collaborating across diverse community-based sites will employ local knowledge and culture in the understanding of the health problem and identifying and implementing solutions that are appropriate for all partners (patients, primary care, referral centers). Enhanced, culturally-competent communication with patients at high risk for lung cancer can narrow inequities in screening awareness, referral, and utilization, as well as improve lung cancer outcomes across diverse patients and communities. Promoting partnerships among physicians, staff, and patients; creating routines; and tailoring materials to each clinician's situation have been show to increase the proportion of patients receiving screening.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

193

Conditions

Lung Cancer Screening

Interventions

-Toolbox of evidence-based elements that a primary care or referral site could implement to address known barriers to screening and referral, as well as required elements for screening. These elements will be designed to be adaptable to the unique needs and screening processes of the participating practices. * Patient education materials * Primary care practice educational materials * Pack-years/eligibility calculator * Local referral process guide * Smoking cessation materials and support * Shared decision-making guide * LDCT best practice guidelines

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * To be eligible to participate in the trial, screening centers have to be existing members of the BJC Collaborative. * Primary Care Providers have to have a referral relationship with the screening center; serve adult patients who may be screening-eligible, and are willing to interact with the referral site to implement referral for LDCT. Exclusion Criteria: There are not any exclusion criteria for the study

Locations (7)

Southern Illinois Healthcare

Carbondale, Illinois, United States

Decatur Memorial Hospital

Decatur, Illinois, United States

Sarah Bush Lincoln Health System

Mattoon, Illinois, United States

Memorial Health System

Springfield, Illinois, United States

BJC HealthCare, Barnes-Jewish St. Peters Hospital

City of Saint Peters, Missouri, United States

CoxHealth

Springfield, Missouri, United States

Washington University School of Medicine

St Louis, Missouri, United States

Outcomes

Primary Outcomes

Number of initial low-dose CT (LDCT) scan screenings per month per screening center

-Screening will be defined as completed initial screen for lung cancer

Time frame: Completion of study (estimated to be 21 months)

Secondary Outcomes

Number of primary care providers who refer at least two patients per month for LDCT

Time frame: Completion of study (estimated to be 21 months)

Percent of patients referred who are screen-eligible

Defined as the number of screen-eligible patients divided by the total of screening procedures performed

Time frame: Completion of study (estimated to be 21 months)

Percent of patients referred who complete screening

Defined as the number of patients referred for screening divided by the total number of screening procedures performed.

Time frame: Completion of study (estimated to be 21 months)