Evidence map›Paper›PMID 30899910›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2019

Use of Lung Cancer Screening With Low-Dose Computed Tomography in the Medicare Population.

Shawn Nishi, Jie Zhou, Yong-Fang Kuo, James S Goodwin

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Effective Educational Approaches to Training Physicians About Lung Cancer Screening.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Bivariate Spatial Pattern between Smoking Prevalence and Lung Cancer Screening in US Counties.International journal of environmental research and public health · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Tobacco Cessation, Rural Residence, and Lung Cancer.Journal of environment and health sciences · 2020
    Article
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

4 authors at 1 institution in 1 country.

Shawn NishiDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX.
Jie ZhouSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX.
Yong-Fang KuoSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX.
James S GoodwinDepartment of Internal Medicine, The University of Texas Medical Branch, Galveston, TX.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
Established Investigator Award in Cancer Prevention & ControlK05CA134923 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2008 to 2019
$1.0M
NCATS NIH HHS UL1 TR001439NCI NIH HHS K05 CA134923NIA NIH HHS P30 AG024832
6 · The paper itself

Abstract

objectiveTo describe rates of low-dose computed tomography (LDCT) and all chest computerized tomography (CT) before and after Centers for Medicare and Medicaid Services (CMS) initiated reimbursement and requirements for screening and to describe factors associated with receipt of LDCT. PATIENTS AND

methodsRetrospective cross-sectional study of Medicare enrollees aged 55 to 77 in Parts A and B Medicare without HMO enrollment in a 20% national sample (n=3,887,430 in 2010, 4,200,875 in 2015, and 4,145,542 in 2016). The outcomes were receipt of LDCT and any chest CT from January 1, 2010, to December 31, 2016. Other measures included enrollee demographic characteristics and diagnoses, including diagnoses of tobacco use.

resultsThe number of enrollees aged 55 to 77 with LDCT rose throughout 2015 and early 2016, and then plateaued. In 2016, 0.44% of enrollees, and 2.21% of those with a tobacco-use diagnosis, underwent LDCT screening. There were increases in the rate of any chest CT (LDCT or diagnostic) between January 1, 2010 and December 31, 2016, and most of this was accounted for by LDCTs.

conclusionsTwo years after CMS approval for lung cancer screening reimbursement, less than 5% of the Medicare population eligible for screening received LDCT. More work is required to identify and modify the barriers for LDCT screening.

Indexed as

CMS, Center for Medicare and Medicaid ServicesCOPD, chronic obstructive pulmonary diseaseCPT, current procedural terminologyHMO, Health Maintenance OrganizationICD-10, International Classification of Diseases Tenth RevisionICD-9, International Classification of Diseases Ninth RevisionLDCT, low dose computed tomographyNHIS, National Health Interview StudyUSPSTF, United States Preventive Services Task Force

Identifiers

PMID30899910
PMCPMC6410337
OpenAlexW2917249581

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.