ArticleCHEST pulmonary2025
"They Just Don't Get Around to It": Clinician Perspectives on Lung Cancer Screening and Racial Disparities Among Veterans.
Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Age-Based Screening for Lung Cancer Surveillance in the US.JAMA network open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Lung cancer screening (LCS) rates are low across the United States, with substantial disparities in availability and uptake. This trend is also reflected in the Veterans Affairs Healthcare System. We aimed to understand clinician perspectives on factors leading to low uptake and racial disparities in LCS. Research Question: What are VA primary care providers' and LCS program staff's experiences with the LCS process and their perspectives on ways it could be improved to reduce disparities in LCS rates among Black veterans? Study Design and Methods: Semistructured interviews were conducted at a Southeastern US Veterans Affairs Healthcare System with primary care providers and LCS program staff. Interview questions and notetaking templates were developed using the Consolidated Framework for Implementation Research. Rapid qualitative analysis was used to assess perspectives on barriers, facilitators, and contextual factors leading to low uptake and racial disparities in LCS to help inform future interventions. Results: We interviewed 20 health care providers (17 primary care providers, 3 LCS program staff). Six emergent themes were derived from a combination of Consolidated Framework for Implementation Research domains and constructs. These included the following: (1) primary care providers' complex experiences with the centralized LCS program, (2) LCS is 1 priority among many, (3) marked clinician variation in LCS shared decision-making and referral decisions, (4) racial biases and structural inequities, (5) limited clinician knowledge of patient-level screening facilitators, and (6) suggested program improvements. Themes underscored that improving the shared decision-making process and streamlining referral and scheduling are key areas for future interventions to improve LCS uptake. Interpretation: Providers reported multiple barriers contributing to LCS disparities and suggested targeting interventions to improve the shared decision-making process and the transition from primary care to LCS visit. Future studies should evaluate such interventions and their impact on LCS uptake and equity.
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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.