Evidence map›Paper›PMID 30947893›Full record

ArticleJournal of the American College of Radiology : JACR2019

Improving Lung Cancer Screening Access for Individuals With Serious Mental Illness.

Efren J Flores, Elyse R Park, Kelly E Irwin

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05784922 (Health Opportunities and Promoters of Equitable Screening for Lung Cancer), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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.

NCT05784922 recruitingnot on this mapstarted 2023, after this paper: background citation

Health Opportunities and Promoters of Equitable Screening for Lung Cancer (HOPES for Lung Cancer)

TypeobservationalSponsorMassachusetts General HospitalRan2023 to 2028Enrolled2,000ConditionsLung Cancer, Smoking Behaviors, DiagnosisArmsEducational Lung Cancer Screening (LCS) Video
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  8. Factors Associated With Timeliness and Equity of Access to Outpatient MRI Examinations.Journal of the American College of Radiology : JACR · 2024
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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

3 authors at 2 institutions in 1 country.

Efren J FloresDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: ejflores@mgh.harvard.edu.
Elyse R ParkDepartment of Psychiatry, Massachusetts General Hospital, Harvard. Medical School, Boston, Massachusetts; Mongan Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Kelly E IrwinDepartment of Psychiatry, Massachusetts General Hospital, Harvard. Medical School, Boston, Massachusetts; Mongan Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Massachusetts General Hospital · USHarvard University · US

Funding

Examining Delivery of Integrated Tobacco Treatment in Cancer CareK24CA197382 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PARK, ELYSE R. · 2015 to 2019
$841k
NCI NIH HHS K24 CA197382
6 · The paper itself

Abstract

Lung cancer continues to be the leading cause of cancer mortality in the United States across all races and ethnicities, but it does not affect everyone equally. Individuals with serious mental illness (SMI), including schizophrenia and bipolar disorder, experience two to four times greater lung cancer mortality in part due to high rates of smoking, delays in cancer diagnosis, and inequities in cancer treatment. Additionally, adults with SMI experience patient, clinician, and health care system-level barriers to accessing cancer screening, such as cognitive deficits that impact understanding of cancer risk, higher rates of poverty and social isolation, patient-provider communication challenges, decreased access to tobacco cessation, and the fragmentation of primary care and mental health care. Despite the proven benefits and mandated coverage by public and private payers, lung cancer screening participation rates remain low among eligible patients, below 4% a year. Given disparities in other cancer screening modalities, these rates are likely to be even lower among individuals with SMI. This article provides a brief overview of current challenges in lung cancer screening and describes a pilot collaboration between radiology and psychiatry that has potential to improve access to lung cancer screening for individuals with serious mental illness.

Indexed as

AdultAgedAge FactorsAttitude to HealthComorbidityEarly Detection of CancerEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansIncidenceLung NeoplasmsMaleMental DisordersMiddle AgedDisparitieshealth equitylung cancer screeningserious mental illness

Identifiers

PMID30947893
PMCPMC6536304
OpenAlexW2927517412

What OpenQuestion holds

Textmetadata
LicenceTDM
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.