Evidence map›Paper›PMID 35997854›Full record

ArticleCancer causes & control : CCC2022

Hospitalization as an opportunity to engage underserved individuals in shared decision-making for lung cancer screening: results from two randomized pilot trials.

Hasmeena Kathuria, Adrian Gunawan, Matthew Spring, Sara Aijaz, Vinson Cobb, Carmel Fitzgerald, Cornelia Wakeman, Jinesa Howard, Mary Clancy, Alexis Gallardo Foreman and 6 more

2 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer causes & control : CCC, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03276806 nacompletednot on this map

Capitalizing on Hospitalization to Engage Low SES Smokers in LDCT Screening: A Randomized Controlled Trial

TypeinterventionalSponsorBoston UniversityRan2017 to 2019Enrolled102ConditionsLung Cancer, Shared Decision MakingArmstobacco dependence/smoking cessation counseling, SDM, Decision Aid, LDCT brochure
NCT03793894 nacompletednot on this map

Engaging Low SES Inpatient Smokers in LDCT Lung Cancer Screening: Enhanced Interventions That Include CHWs to Address SDH Barriers

TypeinterventionalSponsorBoston UniversityRan2019 to 2020Enrolled21ConditionsLung Cancer Screening, Smoking CessationArmsSmoking Cessation Counseling, Decision Aid, Shared decision making (SDM), CHW Navigation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Interventions to increase participation in lung cancer screening programmes: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Hasmeena KathuriaThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA. hasmeena@bu.edu.ORCID http://orcid.org/0000-0002-9062-409X
Adrian GunawanThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Matthew SpringThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Sara AijazDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Vinson CobbThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Carmel FitzgeraldThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Cornelia WakemanThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Jinesa HowardThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Mary ClancyThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Alexis Gallardo ForemanThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Ve TruongSection of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Carolina WongThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Katrina SteilingThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Karen E LasserSection of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Katia BulekovaResearch Computing Services (RCS) Group, Information Services & Technology, Boston University, Boston, MA, USA.
Renda Soylemez WienerThe Pulmonary Center, Department of Medicine, Boston University School of Medicine (BUSM), 72 East Concord Street, R304, Boston, MA, 02492, USA.
Boston University · US

Funding

MEDICAL STUDENT SUMMER RESEARCH PROGRAM IN HEART, LUNG AND BLOOD DISEASES (RPHLB)T35HL139444 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FINE, ALAN FINE, SARFATY, SUZANNE · 2019 to 2023
$479k
American Lung Association LCD-507875NHLBI NIH HHS T35 HL139444NHLBI NIH HHS T35HL139444
6 · The paper itself

Abstract

purposeMedicare requires tobacco dependence counseling and shared decision-making (SDM) for lung cancer screening (LCS) reimbursement. We hypothesized that initiating SDM during inpatient tobacco treatment visits would increase LCS among patients with barriers to proactively seeking outpatient preventive care.

methodsWe collected baseline assessments and performed two pilot randomized trials at our safety-net hospital. Pilot 1 tested feasibility, acceptability, and preliminary efficacy of a nurse practitioner initiating SDM for LCS during hospitalization (Inpatient SDM). We collected qualitative data on barriers encountered during Pilot 1. Pilot 2 added a community health worker (CHW) to address barriers to LCS completion (Inpatient SDM + CHW-navigation). For both studies, preliminary efficacy was an intention-to-treat analysis of LCS completion at 3 months between intervention and comparator (furnishing of LCS decision aid only) groups.

resultsBaseline assessments showed that patients preferred in-person LCS discussions versus self-reviewing materials; overall 20% had difficulty understanding written information. In Pilot 1, 4% (2/52) in Inpatient SDM versus 2% (1/48, comparator) completed LCS (p = 0.6), despite 89% (89/100) desiring LCS. Primary care providers noted that competing priorities and patient factors (e.g., social barriers to keeping appointments) prevented the intervention from working as intended. In Pilot 2, 50% (5/10) in Inpatient SDM + CHW-navigation versus 9% (1/11, comparator) completed LCS (p < 0.05). Many patients were ineligible due to recent diagnostic chest CT (Pilot 1: 255/659; Pilot 2: 239/527).

conclusionsInpatient SDM + CHW-navigation shows promise to improve LCS rates among underserved patients who smoke, but feasibility is limited by recent diagnostic chest CT among inpatients. Implementing CHW-navigation in other clinical settings may facilitate LCS for underserved patients. TRAIL REGISTRATION: ClinicalTrials.gov Identifier: NCT03276806 (8 September 2017); NCT03793894 (4 January 2019).

Indexed as

Early Detection of CancerLung NeoplasmsAgedDecision MakingHospitalizationHumansMedicarePatient ParticipationPilot ProjectsUnited StatesCommunity health worker (CHW) navigationLung cancer screening (LCS)Nurse practitionerSafety-net hospitalShared decision-making (SDM)

Identifiers

PMID35997854
PMCPMC12812329
OpenAlexW4292731140

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.