ArticleJNCI cancer spectrum2020
National Lung Cancer Screening Utilization Trends in the Veterans Health Administration.
Article in JNCI cancer spectrum, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of comorbidity in the lung cancer screening population: A systematic review and meta-analysis.Journal of medical screening · 2023Pooled it
- Veteran Satisfaction With Lung Cancer Screening Care: A Cross-Sectional Evaluation.Medical care · 2026Article
- Characterizing phantom lymph node collection during curative-intent resection of non-small cell lung cancer.The Journal of thoracic and cardiovascular surgery · 2026Article
- Estimating Lung Cancer Screening Eligibility in the Veterans Health Administration Using Patient-Reported Smoking Histories.Journal of general internal medicine · 2026Article
- The impact of frailty on postoperative outcomes of veterans with stage I non-small cell lung cancer.Surgery · 2026Article
- Provider Behavioral Determinants and Preferences for Lung Cancer Screening Implementation: A Brief Report.JTO clinical and research reports · 2025Article
- Validation of data in the Veteran health administration electronic medical record for identification of tobacco use.Annals of epidemiology · 2025Article
- National Survey of Lung Cancer Screening Eligibility in United States Veterans.American journal of preventive medicine · 2025Article
- A Novel Automated Algorithm to Identify Lung Cancer Screening from Free Text of Radiology Orders.Journal of general internal medicine · 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
- Article
- Article
- Tackling Guideline Non-concordance: Primary Care Barriers to Incorporating Life Expectancy into Lung Cancer Screening Decision-Making-A Qualitative Study.Journal of general internal medicine · 2024Article
- The Impact of Changing Race-Specific Equations for Lung Function Tests among Veterans with Chronic Obstructive Pulmonary Disease.Annals of the American Thoracic Society · 2024Article
- Lung Cancer Survival Trends in the Veterans Health Administration.Clinical lung cancer · 2024Article
- The Association of Organizational Readiness With Lung Cancer Screening Utilization.American journal of preventive medicine · 2023Article
- Breast and Lung Cancer Screening Among Medicare Enrollees During the COVID-19 Pandemic.JAMA network open · 2023Article
- Rural barriers and facilitators of lung cancer screening program implementation in the veterans health administration: a qualitative study.Frontiers in health services · 2023Article
- The Association of Health Care System Resources With Lung Cancer Screening Implementation: A Cohort Study.Chest · 2022Article
- Factors Associated With Declining Lung Cancer Screening After Discussion With a Physician in a Cohort of US Veterans.JAMA network open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
backgroundMany Veterans are high risk for lung cancer. Low-dose computed tomography (LDCT) is an effective strategy for lung cancer early detection in a high-risk population. Our objective was to describe and compare annual and geographic utilization trends for LDCT screening in the Veteran's Health Administration (VHA).
methodsA national retrospective cohort of screened Veterans from January 1, 2011 to May 31, 2018 was used to calculate annual and regional rates of initial LDCT utilization per 1000 eligible Veterans. We identified Veterans with a first LDCT exam using common procedure terminology codes G0297 or 71250 and described as "lung cancer screening," "screening," or "LCS." The number of screen-eligible Veterans per year was calculated as unique Veterans aged 55 to 80 years seen at a Veterans Affairs medical center (VAMC) in that year, multiplied by 32% (estimated proportion with eligible smoking history). We present 95% confidence intervals (CI) for rates.
resultsScreened Veterans had a mean age of 66.1 years (standard deviation [SD] = 5.6); 95.5% male; 77.4% Caucasian. There were 119 300 LDCT exams, of which 80 819 (67.7%) were initial. Nationally, initial screens increased from 0 (95% CI = 0.00 to 0.00) in 2011 to 29.6 (95% CI = 29.26 to 29.88) scans per 1000 eligible Veterans in 2018 (
conclusionVHA LDCT utilization increased from 2011 to 2018. However, overall utilization remained low. Future interventions are needed to increase lung cancer screening utilization among eligible Veterans.
Identifiers
What OpenQuestion holds
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.