Evidence map›Paper›PMID 37169315›Full record

ArticleAmerican journal of preventive medicine2023

National Survey of Lung Cancer Screening Practices in Veterans Health Administration Facilities.

Eduardo R Núñez, Christopher G Slatore, Nichole T Tanner, Anne C Melzer, Kristina A Crothers, Jennifer A Lewis, Angela E Fabbrini, James K Brown, Renda S Wiener

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04574518 (Teachable Moment to Opt-out of Tobacco), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT04574518 naactive not recruitingnot on this map

Teachable Moment to Opt-out of Tobacco (TeaM OUT): A Stepped Wedge Cluster Randomized Intervention

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2026Enrolled223ConditionsSolitary Pulmonary Nodule, Multiple Pulmonary Nodules, Tobacco UseArmsTeaM OUT Intervention, Enhanced Usual Care
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Updates in Lung Cancer Screening: A Decade of Evidence.Seminars in respiratory and critical care medicine · 2025
    Review
  3. Article
  4. Article
  5. Observational
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

9 authors at 7 institutions in 1 country.

Eduardo R NúñezCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Boston, Massachusetts; Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts. Electronic address: eduardo.nunez2@baystatehealth.org.
Christopher G SlatoreNational Center for Lung Cancer Screening (NCLCS), Veterans Health Administration, Washington, District of Columbia; Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, Oregon; Division of Pulmonary and Critical Care Medicine, School of Medicine, Oregon Health & Science University, Portland, Oregon.
Nichole T TannerHealth Equity and Rural Outreach Innovation Center (HEROIC), Charleston VA Medical Center, Charleston, South Carolina; Division of Pulmonary, Critical Care, Allergy & Sleep Medicine, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.
Anne C MelzerCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota; Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Kristina A CrothersDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, VA Puget Sound Health Care System and University of Washington, Seattle, Washington.
Jennifer A LewisGeriatric Research Education Clinical Center (GRECC), VA Tennessee Valley Healthcare System, Veterans Health Administration, Nashville, Tennesse; Division of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, Tennesse; Vanderbilt-Ingram Cancer Center, Nashville, Tennesse.
Angela E FabbriniNational Center for Lung Cancer Screening (NCLCS), Veterans Health Administration, Washington, District of Columbia.
James K BrownDivision of Pulmonary, Critical Care, Allergy and Sleep Medicine, Department of Medicine, University of California San Francisco, San Francisco, California; VA Medical Center San Francisco, San Francisco, California.
Renda S WienerCenter for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Boston, Massachusetts; Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts; National Center for Lung Cancer Screening (NCLCS), Veterans Health Administration, Washington, District of Columbia.
Boston University · USMedical University of South Carolina · USOregon Health & Science University · USSan Francisco VA Medical Center · USUniversity of Minnesota · USUniversity of Washington · USVanderbilt University · US

Funding

BIOLOGY OF THE LUNG--MULTIDISCIPLINARY PROGRAMT32HL007035 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Darrell N. Kotton, JOSEPH P MIZGERD · 1985 to 2026
$24.3M
Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
Determining organizational structures and processes that improve lung cancer screening adherence among underserved populationsF32CA265053 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NUNEZ, EDUARDO RAMON · 2021 to 2021
$73k
NCI NIH HHS F32 CA265053NHLBI NIH HHS K12 HL137943NHLBI NIH HHS T32 HL007035
6 · The paper itself

Abstract

introductionLung cancer screening can save lives through the early detection of lung cancer, and professional societies recommend key lung cancer screening program components to ensure high-quality screening. Yet, little is known about the key components that comprise the various screening program models in routine clinical settings. The objective was to compare the utilization of these key components across centralized, hybrid, and decentralized lung cancer screening programs.

methodsThe survey was designed to identify current structures and processes of lung cancer screening programs. It was administered electronically to Veterans Health Administration facilities nationally (N=122) between August and December 2021. Results were analyzed between March and August 2022 and stratified by self-identified lung cancer screening program type, and we tested the hypothesis that centralized screening programs would be more likely to have implemented practices that support lung cancer screening, followed by hybrid and decentralized programs, using the Cochran-Armitage trend test.

resultsOverall, 69 (56.6%) facilities completed the survey, and respondents were lung cancer screening coordinators (39.1%), pulmonologists (33.3%), and oncologists (10.1%). Facilities most frequently self-identified as having a centralized (37.7%) program model, followed by identifying as having hybrid (30.4%) and decentralized (20.3%) programs. There was varying implementation of practices to support lung cancer screening, with hybrid and decentralized programs less likely to have lung cancer screening registries, lung cancer screening steering committees, or dedicated lung cancer screening coordinators.

conclusionsAlthough there is overlap between the components of various lung cancer screening program types, centralized programs more frequently implemented practices before the initial screening to support lung cancer screening. This work provides a path for future investigations to identify which lung cancer screening practices are effective to improve lung cancer screening outcomes, which could help inform implementation in settings with limited resources.

Indexed as

Lung NeoplasmsEarly Detection of CancerHumansSurveys and QuestionnairesVeterans Health

Identifiers

PMID37169315
PMCPMC10592654
OpenAlexW4375946491

What OpenQuestion holds

Textmetadata
LicenceTDM
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.