ArticleJournal of the American Association of Nurse Practitioners2019
Lung cancer screening: Practice guidelines and insurance coverage are not enough.
Article in Journal of the American Association of Nurse Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07214441 (Evaluating the Feasibility and Preliminary Effects of a Remotely Delivered Dyad-Based Intervention Incorporating Resistance Training to Improve Fitness in Individuals With Non-Small-Cell Lung Cancer and in Their Partners), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled 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.
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.
Evaluating the Feasibility and Preliminary Effects of a Remotely Delivered Dyad-Based Intervention Incorporating Resistance Training to Improve Fitness in Individuals With Non-Small-Cell Lung Cancer and in Their Partners
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Facilitators and Barriers to Implementation of Lung Cancer Screening: A Framework-Driven Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Confronting nihilism and stigma in lung cancer: The nurse practitioner's role in restoring hope and trust.Journal of the American Association of Nurse Practitioners · 2026Article
- Using AI to Design and Develop Online Educational Modules to Enhance Lung Cancer Screening Uptake Among High-Risk Individuals.Cancers · 2026Article
- Current Evidence for a Lung Cancer Screening Program.Portuguese journal of public health · 2024Review
- Clinician challenges to evidence-based prescribing for heart failure and reduced ejection fraction: A qualitative evaluation.Journal of evaluation in clinical practice · 2023Article
- Changing recommendations for lung cancer screening: National Lung Cancer Roundtable member perspectives.Cancer · 2023Article
- Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Inadequate Uptake of USPSTF-Recommended Low Dose CT Lung Cancer Screening.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
background and purposeLow-dose computed tomography (LDCT) is expected to increase early detection of lung cancer and improve survival. The growth in the number of advanced nurse practitioners (NPs) in primary care settings increases the likelihood that an NP will serve as a patient's provider. This study's purpose was to examine knowledge, attitudes, and practices regarding LDCT among NPs who work in primary care settings.
methodsAn explanatory, sequential, mixed-method design used a 32-item questionnaire, followed by a semi-structured telephone interview. The development of the survey and interview questions were guided by a conceptual framework representing a temporal sequence for behavior change and potential barriers to guideline adherence.
conclusionsNurse practitioners believe that shared decision making with their high-risk patients about LDCT is within their scope of their practice. Working in time-constrained primary care settings, NPs have limited abilities to improve the uptake of LDCT. Substantial patient barriers exist that deter follow through on providers' recommendation. Disseminating guidelines and authorizing health insurance reimbursement is insufficient. IMPLICATIONS FOR PRACTICE: Research is needed that investigates the screening process so that barriers can be closely studied. Culture change is needed where early detection has greater value for insurers, providers, and patients.
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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.