ArticleJNCI cancer spectrum2023
The Philadelphia Lung Cancer Learning Community: a multi-health-system, citywide approach to lung cancer screening.
Article in JNCI cancer spectrum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Facilitators and barriers of lung cancer screening participation: umbrella and systematic review of the global evidence.BMC public health · 2025Pooled it
- Lung cancer screening completion rates and neighborhood disadvantage among primary care patients in an integrated delivery network health system: a retrospective data analysis.BMC primary care · 2026Article
- Article
- Anatomic Distribution and Clinical Presentation of Pulmonary Carcinoids: A Single-institutional Study.Annals of thoracic surgery short reports · 2025Article
- Using an Integrated, Digital Framework to Standardize and Expand a Multisite Lung Cancer Screening Program.JCO clinical cancer informatics · 2025Article
- Leveraging geospatial data to support an implementation science approach to address lung cancer burden.JNCI cancer spectrum · 2025Article
- A Geospatial Analysis of the Lung Cancer Burden in Philadelphia, Using Pennsylvania Cancer Registry Data from 2008-2017.International journal of environmental research and public health · 2025Article
- Disparities in lung cancer screening utilization at two health systems in the Southeastern USA.Cancer causes & control : CCC · 2025Article
- Developing a city-wide, community-engaged cancer disparities research agenda.Cancer causes & control : CCC · 2025Article
- Annual Adherence of Asian American Individuals in a Lung Cancer Screening Program Compared With Other Racial Groups.CHEST pulmonary · 2024Article
- University of Pennsylvania Telehealth Research Center of Excellence.Journal of the National Cancer Institute. Monographs · 2024Article
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Authors and funding
13 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundLung cancer screening uptake for individuals at high risk is generally low across the United States, and reporting of lung cancer screening practices and outcomes is often limited to single hospitals or institutions. We describe a citywide, multicenter analysis of individuals receiving lung cancer screening integrated with geospatial analyses of neighborhood-level lung cancer risk factors.
methodsThe Philadelphia Lung Cancer Learning Community consists of lung cancer screening clinicians and researchers at the 3 largest health systems in the city. This multidisciplinary, multi-institutional team identified a Philadelphia Lung Cancer Learning Community study cohort that included 11 222 Philadelphia residents who underwent low-dose computed tomography for lung cancer screening from 2014 to 2021 at a Philadelphia Lung Cancer Learning Community health-care system. Individual-level demographic and clinical data were obtained, and lung cancer screening participants were geocoded to their Philadelphia census tract of residence. Neighborhood characteristics were integrated with lung cancer screening counts to generate bivariate choropleth maps.
resultsThe combined sample included 37.8% Black adults, 52.4% women, and 56.3% adults who currently smoke. Of 376 residential census tracts in Philadelphia, 358 (95.2%) included 5 or more individuals undergoing lung cancer screening, and the highest counts were geographically clustered around each health system's screening sites. A relatively low percentage of screened adults resided in census tracts with high tobacco retailer density or high smoking prevalence.
conclusionsThe sociodemographic characteristics of lung cancer screening participants in Philadelphia varied by health system and neighborhood. These results suggest that a multicenter approach to lung cancer screening can identify vulnerable areas for future tailored approaches to improving lung cancer screening uptake. Future directions should use these findings to develop and test collaborative strategies to increase lung cancer screening at the community and regional levels.
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