ArticleJournal of the American College of Radiology : JACR2022
Association of Rurality With Annual Repeat Lung Cancer Screening in the Veterans Health Administration.
Article in Journal of the American College of Radiology : JACR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 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
- Veteran Satisfaction With Lung Cancer Screening Care: A Cross-Sectional Evaluation.Medical care · 2026Article
- Care coordination as the bridge: closing the gaps in lung cancer screening.Annals of the American Thoracic Society · 2026Article
- Applying artificial intelligence to ensure high quality and equitable lung cancer screening.Translational lung cancer research · 2026Review
- Spatial Analysis of Lung Cancer Mortality and Its Potential Risk Factors: A Regional Study in Kansas.Preventive oncology & epidemiology · 2026Article
- Dismal adherence to lung cancer screening in a diverse urban population.The Journal of thoracic and cardiovascular surgery · 2025Article
- National Survey of Lung Cancer Screening Eligibility in United States Veterans.American journal of preventive 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
- Review
- What Goes into Patient Selection for Lung Cancer Screening? Factors Associated with Clinician Judgments of Suitability for Screening.American journal of respiratory and critical care medicine · 2024Article
- Myocardial Infarction Across COVID-19 Pandemic Phases: Insights From the Veterans Health Affairs System.Journal of the American Heart Association · 2023Article
- Rural barriers and facilitators of lung cancer screening program implementation in the veterans health administration: a qualitative study.Frontiers in health services · 2023Article
Corrections and comments
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Authors and funding
13 authors at 7 institutions in 2 countries.
Funding
Abstract
purposeLung cancer causes the largest number of cancer-related deaths in the United States. Lung cancer incidence rates, mortality rates, and rates of advanced stage disease are higher among those who live in rural areas. Known disparities in lung cancer outcomes between rural and nonrural populations may be in part because of barriers faced by rural populations. The authors tested the hypothesis that among Veterans who receive initial lung cancer screening, rural Veterans would be less likely to complete annual repeat screening than nonrural Veterans.
methodsA retrospective cohort study was conducted of 10 Veterans Affairs medical centers from 2015 to 2019. Rural and nonrural Veterans undergoing lung cancer screening were identified. Rural status was defined using the rural-urban commuting area codes. The primary outcome was annual repeat lung cancer screening in the 9- to 15-month window (primary analysis) and 31-day to 18-month window (sensitivity analysis) after the first documented lung cancer screening. To examine rurality as a predictor of annual repeat lung cancer screening, multivariable logistic regression models were used.
resultsIn the final analytic sample of 11,402 Veterans, annual repeat lung cancer screening occurred in 27.7% of rural Veterans (641 of 2,316) and 31.8% of nonrural Veterans (2,891 of 9,086) (adjusted odds ratio: 0.86; 95% confidence interval: 0.73-1.03). Similar results were seen in the sensitivity analysis, with 41.6% of rural Veterans (963 of 2,316) versus 45.2% of nonrural Veterans (4,110 of 9,086) (adjusted odds ratio: 0.88; 95% confidence interval: 0.73-1.04) having annual repeat screening in the expanded 31-day to 18-month window.
conclusionsAmong a national cohort of Veterans, rural residence was associated with numerically lower odds of annual repeat lung cancer screening than nonrural residence. Continued, intentional outreach efforts to increase annual repeat lung cancer screening among rural Veterans may offer an opportunity to decrease deaths from lung cancer.
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Registered trials
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