ArticleJournal of the American College of Radiology : JACR2022
Implementation and Uptake of Rural Lung Cancer Screening.
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 21 papers, 2 of them syntheses 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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Interventions to improve access to cancer care in underserved populations in high income countries: a systematic review.Oncology reviews · 2024Pooled it
- Article
- Recruitment strategies and outcomes in lung cancer screening programmes: a scoping review.European radiology · 2026Article
- Network analysis of factors associated with lung cancer screening behavior among high-risk rural adults in Fujian, China.Archives of public health = Archives belges de sante publique · 2026Article
- Association of rurality with brain metastasis at initial diagnosis of lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- Trends in pulmonary embolism mortality among older adults with lung cancer in the united States, 1999-2020.Journal of thrombosis and thrombolysis · 2026Article
- The landscape of lung cancer screening globally: a comparison of established programs and estimates of eligibility to participate.The Lancet regional health. Western Pacific · 2026Review
- Article
- Lung cancer in the socioeconomic and environmental context of the Amazon region of Pará.Revista da Escola de Enfermagem da U S P · 2026Article
- The impact of rurality, socioeconomic status, and health literacy on lung cancer screening uptake: a systematic review protocol.Translational lung cancer research · 2025Article
- Lung cancer disparities in rural, persistent poverty counties: a secondary data analysis.BMC public health · 2025Article
- The feasibility and cost-effectiveness of implementing mobile low-dose computed tomography with an AI-based diagnostic system in underserved populations.BMC cancer · 2025Article
- Examining implementation strategies to reduce disparities in lung cancer screening uptake by state Medicaid expansion status: a scoping review.Preventive oncology & epidemiology · 2025Article
- Geographic Accessibility and Completion of Initial Low-Dose CT-Based Lung Cancer Screening in an Urban Safety-Net Population.Journal of the National Comprehensive Cancer Network : JNCCN · 2024Article
- Equitable implementation of lung cancer screening: avoiding its potential to mirror existing inequities among people who use tobacco.Cancer causes & control : CCC · 2023Article
- Article
- Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?BMC primary care · 2023Article
- Investigation on the incidence and risk factors of lung cancer among Chinese hospital employees.Thoracic cancer · 2022Article
- Lung Cancer Screening Knowledge and Perceived Barriers Among Physicians in the United States.JTO clinical and research reports · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveGiven the higher rates of tobacco use along with increased mortality specific to lung cancer in rural settings, low-dose CT (LDCT)-based lung cancer screening could be particularly beneficial to such populations. However, limited radiology facilities and increased geographical distance, combined with lower income and education along with reduced patient engagement, present heightened barriers to screening initiation and adherence.
methodsIn collaboration with community leaders and stakeholders, we developed and implemented a community-based lung cancer screening program, including telephone-based navigation and tobacco cessation counseling support, serving 18 North Texas counties. Funding was available to support clinical services costs where needed. We collected data on LDCT referrals, orders, and completion.
resultsTo raise awareness for lung cancer screening, we leveraged our established collaborative network of more than 700 community partners. In the first year of operation, 107 medical providers referred 570 patients for lung cancer screening, of whom 488 (86%) were eligible for LDCT. The most common reasons for ineligibility were age (43%) and insufficient tobacco history (20%). Of 381 ordered LDCTs, 334 (88%) were completed. Among screened patients, 61% were current smokers and 36% had insurance coverage for the procedure. The program cost per patient was $430. DISCUSSION: Implementation, uptake, and completion of LDCT-based lung cancer screening is feasible in rural settings. Community outreach, health promotion, and algorithm-based navigation may support such efforts. Given low lung cancer screening rates nationally and heightened lung cancer risk in rural populations, similar programs in other regions may be particularly impactful.
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