ArticlePreventing chronic disease2020
Urban-Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois.
Article in Preventing chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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 · 2025Pooled it
- Predictors of Cessation Readiness among Cigarette Smokers Presenting for Low-Dose CT Lung Cancer Screening in Community Settings (WF-20817CD).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Trial
- Clinical Decision Support with or without Shared Decision Making to Improve Preventive Cancer Care: A Cluster-Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Geographic Access to Low-Dose CT Lung Cancer Screening in Tennessee: Disparities by Socioeconomic Variables, Rurality, and Appalachian Status.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Neighborhood geographic disparities in colorectal, prostate, breast, and lung cancer risk in Alabama.Journal of cancer survivorship : research and practice · 2026Article
- Determinants of incidence trends in pancreatic neuroendocrine neoplasms.Journal of neuroendocrinology · 2026Article
- Spatial accessibility for deploying mobile lung cancer screenings in a rural state using two-step floating catchment spatial analysis in Oklahoma, United States 2025.Preventive medicine reports · 2025Article
- Long-term exposure to ozone and incidence of lung cancer in China: data based on a national population cohort (ChinaHEART).Journal of the National Cancer Center · 2025Article
- Disparities of Distant Metastasis Evaluation Imaging for Rectal Cancer.Journal of the American College of Radiology : JACR · 2025Article
- Differences in lung cancer death rates by rural vs. urban status in comparison to all-cancer death rates - United States, 1999-2020.Cancer epidemiology · 2025Article
- "Just give it to us straight!": a qualitative analysis of midwestern rural lung cancer survivors and caregivers about survivorship care experiences.Journal of cancer survivorship : research and practice · 2025Article
- "We don't get that information right back to us unless it's a full-blown cancer": Challenges coordinating lung cancer screening across healthcare systems.Health services research · 2025Article
- A Systematic Review: The Role of Artificial Intelligence in Lung Cancer Screening in Detecting Lung Nodules on Chest X-Rays.Diagnostics (Basel, Switzerland) · 2025Review
- Using Telehealth to Increase Lung Cancer Screening Referrals for At-Risk Veterans in Rural Communities.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Disparities in Lung Cancer: A Targeted Literature Review Examining Lung Cancer Screening, Diagnosis, Treatment, and Survival Outcomes in the United States.Journal of racial and ethnic health disparities · 2024Review
- Review
- Review
- Alvin J. Siteman Cancer Center: Cancer Prevention Perspective.Cancer prevention research (Philadelphia, Pa.) · 2023Article
- Disparities in cancer mortality patterns: A comprehensive examination of U.S. rural and urban adults, 1999-2020.Cancer medicine · 2023Article
- Adapting a Research and Community Capacity-Building Program to Address Rural Cancer Burden and Facilitate Partnership Development Between Rural Community Stakeholders and an Urban Comprehensive Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
introductionLow-dose computed tomography (LDCT) lung cancer screening is recommended for current and former smokers who meet eligibility criteria. Few studies have quantitatively examined disparities in access to LDCT screening. The objective of this study was to examine relationships between 1) rurality, sociodemographic characteristics, and access to LDCT lung cancer screening and 2) screening access and lung cancer mortality.
methodsWe used census block group and county-level data from Missouri and Illinois. We defined access to screening as presence of an accredited screening center within 30 miles of residence as of May 2019. We used mixed-effects logistic models for screening access and county-level multiple linear regression models for lung cancer mortality.
resultsApproximately 97.6% of metropolitan residents had access to screening, compared with 41.0% of nonmetropolitan residents. After controlling for sociodemographic characteristics, the odds of having access to screening in rural areas were 17% of the odds in metropolitan areas (95% CI, 12%-26%). We observed no association between screening access and lung cancer mortality. Southeastern Missouri, a rural and impoverished area, had low levels of screening access, high smoking prevalence, and high lung cancer mortality.
conclusionAlthough access to LDCT is lower in rural areas than in urban areas, lung cancer mortality in rural residents is multifactorial and cannot be explained by access alone. Targeted efforts to implement rural LDCT screening could reduce geographic disparities in access, although further research is needed to understand how increased access to screening could affect uptake and rural disparities in lung cancer mortality.
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