Evidence map›Paper›PMID 40789621›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Lung Cancer Screening by Nativity Among Latino Community Health Center Patients.

John Heintzman, Tahlia Hodes, Steffani R Bailey, Christopher G Slatore, Wyatt P Bensken, Jennifer A Lucas, Matthew P Banegas, Gretchen Mertes, Miguel Marino

Abstract read
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In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  2. The 4Cs of Primary Care, Leveraging Artificial Intelligence, and Improving Clinical Practice.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
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.

John HeintzmanFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM). heintzma@ohsu.edu.
Tahlia HodesFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Steffani R BaileyFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Christopher G SlatoreFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Wyatt P BenskenFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Jennifer A LucasFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Matthew P BanegasFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Gretchen MertesFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).
Miguel MarinoFrom the Family Medicine, Oregon Health and Science University, Portland, OR (JH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (TH); Department of Family Medicine, Oregon Health and Science University, Portland, OR (SRB), Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, Division of Pulmonary, Allergy, and Critical Care Medicine, Oregon Health & Science University, Portland, OR (CGS); OCHIN Inc (WPB); Department of Family Medicine, Oregon Health and Science University, Portland, OR (JAL); Department of Radiation Medicine and Applied Sciences, University of California at San Diego, San Diego, CA (MPB); OCHIN, Inc.(GM); Department of Family Medicine, Oregon Health and Science University, Portland, OR (MM).

Funding

FRONTIERS: Foreign-Born Latinos Cancer ScreeningR01CA258464 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN D. · 2022 to 2025
$2.2M
NCI NIH HHS R01 CA258464
6 · The paper itself

Abstract

introductionUnited States Preventive Service Task Force guidelines recommend annual low-dose computed tomography for lung cancer screening (LCS) for people with significant history of cigarette use. While the national prevalence of lung cancer screening remains low, with known racial and ethnic disparities, studies have yet to examine LCS screening disparities by nativity among Latino patients.

methodsWe evaluated the documentation and prevalence of LCS orders in the electronic health record in Latino patients, by place of birth, in a multistate network of community health centers, over a 10-year study period (2013 to 2022), adjusting for patient and clinical demographic factors.

resultsAmong patients who reported current or former cigarette use (n = 126,528), the prevalence of a LCS order was 7.3%. Among 62,483 patients with a documented 30+ year pack-history, US-born Latinos had equal odds as non-Latino Whites to have LCS ordered (OR = 0.71, 95% CI = 0.42-1.21), while odds were lower for both foreign-born Latinos (OR = 0.47, 95% CI = 0.29 to 0.75) and Latinos without a place of birth recorded (OR = 0.63, 95% CI = 0.54-0.73).

conclusionThe prevalence of LCS was low overall in a large sample of Latino and non-Hispanic White patients with cigarette smoking history. Foreign-born Latino and Latino patients without a country of birth noted in the record had significantly lower odds of having LCS ordered; this should be considered in clinical screening workflows. Nativity and pack-year history were not documented in most patients. More complete documentation of nativity and pack-year history is necessary to fully assess LCS need and equity in Latino patients of heterogeneous nativity.

Indexed as

Community Health CentersEarly Detection of CancerHealthcare DisparitiesHispanic or LatinoLung NeoplasmsAdultAgedElectronic Health RecordsFemaleHumansMaleMass ScreeningMiddle AgedPrevalenceTomography, X-Ray ComputedUnited StatesCancerCancer ScreeningCarcinomaCommunity Health CentersElectronic Health RecordsLatinosLung CancerPrevalenceSmoking

Identifiers

PMID40789621
PMCPMC12616788

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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.