Evidence map›Paper›PMID 30375235›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

An Analysis of Lung Cancer Screening Beliefs and Practice Patterns for Community Providers Compared to Academic Providers.

Marjon Khairy, Duy K Duong, Salma Shariff-Marco, Iona Cheng, Jennifer Jain, Anupama Balakrishnan, Lynn Liu, Aarti Gupta, Ranjani Chandramouli, Ann Hsing and 3 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 15% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  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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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

13 authors at 8 institutions in 1 country.

Marjon Khairy1 Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Duy K Duong2 Division of Pulmonary & Critical Care Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-2416-8444
Salma Shariff-Marco3 Cancer Prevention Institute of California, Fremont, CA, USA.
Iona Cheng4 Department of Epidemiology and Biostatistics, University of California, San Francisco, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Jennifer Jain3 Cancer Prevention Institute of California, Fremont, CA, USA.
Anupama Balakrishnan5 Indian Health Center, San Jose, CA, USA.
Lynn Liu6 North East Medical Center, San Jose, CA, USA.
Aarti Gupta7 Mayview Community Health Center, Mountain View, CA, USA.
Ranjani Chandramouli8 Gardner Health Center, San Jose, CA, USA.
Ann Hsing9 Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA.
Ann Leung1 Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Baldeep Singh10 Department of General Medical Disciplines, Stanford University School of Medicine, Stanford, CA, USA.
Viswam S Nair11 Division of Pulmonary & Critical Care Medicine, USF Health Morsani College of Medicine, Tampa, FL, USA.
Stanford University · USCancer Prevention Institute of California · USUniversity Physicians · USCommunity Health Center · USKaiser Permanente San Jose Medical Center · USMount Wachusett Community College · USUniversity of California, San Francisco · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite guidelines recommending annual low-dose computed tomography (LDCT) screening for lung cancer, uptake remains low due to the perceived complexity of initiating and maintaining a clinical program-problems that likely magnify in underserved populations. We conducted a survey of community providers at Federally Qualified Health Centers (FQHCs) in Santa Clara County, California, to evaluate provider-related factors that affect adherence. We then compared these findings to academic providers' (APs) LDCT screening knowledge, behaviors, and attitudes at an academic referral center in the same county. The 4 FQHCs enrolled care for 80 000 patients largely of minority descent and insured by Medi-Cal. Of the 75 FQHC providers (FQHCPs), 36 (48%) completed the survey. Of the 36 providers, 8 (22%) knew screening criteria. Fifteen (42%) FQHCPs discussed LDCT screening with patients. Compared to 36 APs, FQHCPs were more concerned about harms, false positives, discussion time, patient apathy, insurance coverage, and a lack of expertise for screening and follow-up. Yet, more FQHCPs thought screening was effective (27 [75%] of 36) compared to APs ( P = .0003). In conclusion, provider knowledge gaps are greater and barriers are different for community clinics caring for underserved populations compared to their academic counterparts, but practical and scalable solutions exist to enhance adoption.

Indexed as

Clinical CompetenceAcademic Medical CentersCaliforniaCommunity Health CentersEarly Detection of CancerFalse Positive ReactionsFemaleGuideline AdherenceHumansLungLung NeoplasmsMalePractice Guidelines as TopicPractice Patterns, Physicians'Surveys and QuestionnairesTomography, X-Ray Computedcancer detectioncancer screeningcomputed tomographyearly diagnosislung cancer

Identifiers

PMID30375235
PMCPMC6210633
OpenAlexW2899214605

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.