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Lung cancer screening utilization: A behavioral risk factor surveillance system analysis

American Journal of Preventive Medicine Jun 27, 2019

Zahnd WE, et al. – In light of the National Lung Screening Trial’s finding that low-dose computed tomography reduced lung cancer death in high-risk individuals, the US Preventive Services Task Force released recommendation for low-dose computed tomography screening for those at high risk in 2013. In this work, researchers used 2017 Behavioral Risk Factor Surveillance System survey data to define computed tomography screening uptake across 10 states. They conducted a cross-sectional analysis of survey data from 4,374 low-dose computed tomography–eligible participants, as determined by Task Force recommendations, in the fall of 2018. Relative to earlier estimates, computed tomography screening utilization was higher. They noted significant state-to-state variation (6.5% utilization in Nevada to 18.1% in Florida). Screening utilization was higher among individuals with insurance vs hose without insurance (15.2% vs 4.0%), and among individuals with asthma (22.9% vs 12.9%) or chronic obstructive pulmonary disease (23.7% vs 8.5%) vs those without either condition.

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