Increasing lung cancer screening referral/order and completion rates in primary care through patient outreach and shared decision making
Melissa DiCarlo, Ayako Shimada, Randa Sifri, Melanie Johnson, Scott W Keith, Tingting Zhan, Hattie Jackson, Amanda Indictor, Nicole Burgess, Irene Mahon, Etta Pisano, Ronald E MyersObjective
This study tested methods to increase lung cancer screening referral/order and completion rates in primary care.
Methods
Patients identified via the electronic medical record as potentially lung cancer screening eligible were randomized either to a telephone outreach and decision counseling Group (
Results
Telephone outreach and decision counseling Group lung cancer screening referral/order and completion rates were higher than usual care Group rates (16% and 9%, respectively, OR = 1.82, CI: 1.37, 2.41) and (8% and 6%, respectively, OR = 1.45, CI: 0.999, 2.09) and rates were higher among older and currently smoking patients (OR = 1.18, CI: 0.999, 1.40 and OR = 3.09, CI: 2.36, 4.05, respectively and OR = 1.32, CI: 1.06, 1.65 and OR = 2.78, CI: 1.98, 3.92, respectively). Among eligible patients, the lung cancer screening referral/order rate was much higher in the OC + DC Group versus OC−DC Group (96% and 42%, respectively, RR = 2.28, CI: 1.50, 3.49) and the lung cancer screening completion rate was somewhat higher (46% and 36%, respectively, RR = 1.29, CI: 0.68, 2.46).
Conclusion
Findings suggest that patient outreach and decision counseling may increase lung cancer screening rates in primary care.