ArticleChest2021
Access to Lung Cancer Screening in the Veterans Health Administration: Does Geographic Distribution Match Need in the Population?
Article in Chest, 2021. 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, 37 citations in OpenAlex.
- Facilitators and barriers of lung cancer screening participation: umbrella and systematic review of the global evidence.BMC public health · 2025Pooled it
- Lung Cancer Screening Decision Aid Designed for a Primary Care Setting: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Article
- Lung Cancer Screening Uptake Among Veterans: Facility-Level Predictors and Racial Disparities in the Pre-Lung Precision Oncology Program Era.CHEST pulmonary · 2026Article
- Health Insurance Type and Lung Cancer Stage Shift Following Coverage of Screening.Health services research · 2026Article
- Trends in lung cancer survival: superior outcomes in US Veterans compared with the general population.JNCI cancer spectrum · 2026Article
- Estimating Lung Cancer Screening Eligibility in the Veterans Health Administration Using Patient-Reported Smoking Histories.Journal of general internal medicine · 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
- "They Just Don't Get Around to It": Clinician Perspectives on Lung Cancer Screening and Racial Disparities Among Veterans.CHEST pulmonary · 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
- Barriers to Accessing Lung Cancer Screening and Thoracic Surgery in US Rural Communities.Current challenges in thoracic surgery · 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
- Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.Journal of health care for the poor and underserved · 2025Article
- Developing a systems-focused tool for modeling lung cancer screening resource needs.Cost effectiveness and resource allocation : C/E · 2024Article
- Review
- 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
- Prediction-Augmented Shared Decision-Making and Lung Cancer Screening Uptake.JAMA network open · 2024Article
- Barriers and Facilitators Impacting Lung Cancer Screening Uptake Among Black Veterans: A Qualitative Study.Journal of the National Comprehensive Cancer Network : JNCCN · 2024Article
- Proactively tailoring implementation: the case of shared decision-making for lung cancer screening across the VA New England Healthcare Network.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundStudies show uneven access to Medicare-approved lung cancer screening (LCS) programs across the United States. The Veterans Health Administration (VA), the largest national US integrated health system, is potentially well positioned to coordinate LCS services across regional units to ensure that access matches distribution of need nationally. RESEARCH QUESTION: To what extent does LCS access (considering both VA and partner sites) and use match the distribution of eligible Veterans at state and regional levels?
methodsIn this retrospective analysis, we identified LCS examinations in VA facilities between 2013 and 2019 from the VA Corporate Data Warehouse and plotted VA facilities with LCS geographically. We compared estimated LCS rates (unique Veterans screened per LCS-eligible population) across states and VA regional units. Finally, we assessed whether the VA's new partnership with the GO
resultsWe identified 71,898 LCS examinations in 96 of 139 (69.1%) VA facilities in 44 states between 2013 and 2019, with substantial variation across states (0-8 VA LCS facilities per state). Screening rates among eligible Veterans in the population varied more than 30-fold across regional networks (rate ratio, 33.6; 95% CI, 30.8-36.7 for VA New England vs Veterans Integrated Service Network 4), with weak correlation between eligible populations and LCS rates (coefficient, -0.30). Partnering with the GO
interpretationDisparities in LCS access exist based on where Veterans live, particularly for rural Veterans, even after partnering with the GO
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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.