Evidence map›Paper›PMID 37219548›Full record

Trial reportPopulation health management2023

Assessing Barriers and Facilitators to Lung Cancer Screening: Initial Findings from a Patient Navigation Intervention.

Simon J Craddock Lee, Jessica Lee, Hong Zhu, Patricia M Chen, Urooj Wahid, Heidi A Hamann, Sheena Bhalla, Rodrigo Catalan Cardenas, Vijaya Subbu Natchimuthu, David H Johnson and 3 more

Open access · greenAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Population health management, 2023. 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.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Knowledge translation strategies to enhance lung cancer screening programme implementation: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Health Beliefs and Adherence to Lung Cancer Screening in a Diverse Safety-Net Population.Journal of the National Comprehensive Cancer Network : JNCCN · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
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

13 authors at 3 institutions in 1 country.

Simon J Craddock LeePeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0001-6345-1237
Jessica LeePeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Hong ZhuPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Patricia M ChenPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Urooj WahidPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Heidi A HamannDepartments of Psychology and Family and Community Medicine, University of Arizona, Tucson, Arizona, USA.
Sheena BhallaHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA.
Rodrigo Catalan CardenasHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA.
Vijaya Subbu NatchimuthuParkland Health, Dallas, Texas, USA.
David H JohnsonHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA.
Noel O SantiniDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas, USA.
Himani R PatelPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
David E GerberPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Southwestern Medical Center · USParkland Health & Hospital System · USUniversity of Arizona · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2010 to 2026
$53.7M
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
AHRQ HHS R24 HS022418NCI NIH HHS P30 CA142543
6 · The paper itself

Abstract

Low-dose computed tomography-based lung cancer screening represents a complex clinical undertaking that could require multiple referrals, appointments, and time-intensive procedures. These steps may pose difficulties and raise concerns among patients, particularly minority, under-, and uninsured populations. The authors implemented patient navigation to identify and address these challenges. They conducted a pragmatic randomized controlled trial of telephone-based navigation for lung cancer screening in an integrated, urban safety-net health care system. Following standardized protocols, bilingual (Spanish and English) navigators educated, motivated, and empowered patients to traverse the health system. Navigators made systematic contact with patients, recording standardized call characteristics in a study-specific database. Call type, duration, and content were recorded. Univariable and multivariable multinomial logistic regression was performed to investigate associations between call characteristics and reported barriers. Among 225 patients (mean age 63 years, 46% female, 70% racial/ethnic minority) assigned navigation, a total of 559 barriers to screening were identified during 806 telephone calls. The most common barrier categories were personal (46%), provider (30%), and practical (17%). System (6%) and psychosocial (1%) barriers were described by English-speaking patients, but not by Spanish-speaking patients. Over the course of the lung cancer screening process, provider-related barriers decreased 80% (

Indexed as

Lung NeoplasmsPatient NavigationEarly Detection of CancerEthnicityFemaleHumansMaleMiddle AgedMinority Groupscomputed tomographydisparitiesLung-RADSminorityunderinsuredunderserved

Identifiers

PMID37219548
PMCPMC10278031
OpenAlexW4377564730

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.