Evidence map›Paper›PMID 28122849›Full record

ArticleFamily practice2017

A qualitative study exploring why individuals opt out of lung cancer screening.

Lisa Carter-Harris, Susan Brandzel, Karen J Wernli, Joshua A Roth, Diana S M Buist

5 registry-linked trialsAbstract read
In one paragraph

Article in Family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04083859 nacompletednot on this mapstarted 2022, after this paper: background citation

A Pragmatic Randomized-Controlled Trial of a Digital Outreach Intervention for Lung Cancer Screening: mPATH-Lung (Mobile Patient Technology for Health-Lung)

TypeinterventionalSponsorWake Forest University Health SciencesRan2022 to 2024Enrolled26,998ConditionsLung CancerArmsmPATH-Lung, Lung health video
NCT05824273 nacompletednot on this mapstarted 2023, after this paper: background citation

Leveraging Social Media to Increase Lung Cancer Screening Awareness, Knowledge and Uptake in High-Risk Populations

TypeinterventionalSponsorHackensack Meridian HealthRan2023 to 2024Enrolled512ConditionsLung CancerArmsLungTalk, Non-tailored intervention - Standard of practice
NCT06052449 nacompletednot on this mapstarted 2023, after this paper: background citation

Assessing Social Determinants of Health to Increase Cancer Screening

TypeinterventionalSponsorHackensack Meridian HealthRan2023 to 2025Enrolled101ConditionsLung CancerArmsSocial determinants of health screening assessment and referral process, Current practice - Community-based lunch cancer screening (LungTalk)
NCT06605534 narecruitingnot on this mapstarted 2024, after this paper: background citation

LEAD Pilot Study: Leveraging the Emergency Department to Address SDOH and Reduce Lung Cancer Screening Disparities

TypeinterventionalSponsorHackensack Meridian HealthRan2024 to 2026Enrolled100ConditionsLung CancerArmsLungTalk, Non-tailored lung screening
NCT07792824 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

CLEAR-LUNG (Community-Level Effectiveness to Advance Reach in Lung Cancer Screening)

TypeinterventionalSponsorHackensack Meridian HealthRan2027 to 2032Enrolled400ConditionsLung CancerArmsWitness Project Lung, General Educational Program
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Knowledge translation strategies to enhance lung cancer screening programme implementation: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
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  15. Health Beliefs and Adherence to Lung Cancer Screening in a Diverse Safety-Net Population.Journal of the National Comprehensive Cancer Network : JNCCN · 2026
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lisa Carter-HarrisIndiana University School of Nursing, Science of Nursing Care Department, Indianapolis, IN, USA.
Susan BrandzelGroup Health Research Institute, Seattle, WA, USA.
Karen J WernliGroup Health Research Institute, Seattle, WA, USA.
Joshua A RothFred Hutchinson Cancer Research Center, Hutchinson Institute for Cancer Outcomes Research, Seattle, WA, USA.
Diana S M BuistGroup Health Research Institute, Seattle, WA, USA.

Funding

CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
NCI NIH HHS U24 CA171524
6 · The paper itself

Abstract

Background: Lung cancer screening with annual low-dose computed tomography is relatively new for long-term smokers in the USA supported by a US Preventive Services Task Force Grade B recommendation. As screening programs are more widely implemented nationally and providers engage patients about lung cancer screening, it is critical to understand behaviour among high-risk smokers who opt out to improve shared decision-making processes for lung cancer screening. Objective: The purpose of this study was to explore the reasons for screening-eligible patients' decisions to opt out of screening after receiving a provider recommendation. Methods: Semi-structured qualitative telephone interviews were performed with 18 participants who met lung cancer screening criteria for age, smoking and pack-year history in Washington State from November 2015 to January 2016. Two researchers with cancer screening and qualitative methodology expertise conducted data analysis using thematic content analytic procedures from audio-recorded interviews. Results: Five primary themes emerged for reasons of opting out of lung cancer screening: (i) Knowledge Avoidance; (ii) Perceived Low Value; (iii) False-Positive Worry; (iv) Practical Barriers; and (v) Patient Misunderstanding. Conclusion: The participants in our study provided insight into why some patients make the decision to opt out of low-dose computed tomography screening, which provides knowledge that can inform intervention development to enhance shared decision-making processes between long-term smokers and their providers and decrease decisional conflict about screening.

Indexed as

AgedEarly Detection of CancerFemaleHumansInterviews as TopicLung NeoplasmsMaleMass ScreeningQualitative ResearchSmokingSocial StigmaTelephoneTomography, X-Ray ComputedWashingtoncancer screeningDecision making and qualitative researchlung cancerpatientsprimary health care

Identifiers

PMID28122849
PMCPMC6279209

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.