Evidence map›Paper›PMID 42903378›Full record

ArticleCureus2026

Association Between Electronic Health Record Health Maintenance Topic and Lung Cancer Screening Completion in a Resident-Run Clinic.

Lawrence J Stawkowski, Caty Davenport, Kathryn Zaffiri, Amy Slenker

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Lawrence J StawkowskiInternal Medicine, Lehigh Valley Health Network, Allentown, USA.
Caty DavenportInternal Medicine, Lehigh Valley Health Network, Allentown, USA.
Kathryn ZaffiriInternal Medicine, Lehigh Valley Health Network, Allentown, USA.
Amy SlenkerInternal Medicine, Lehigh Valley Health Network, Allentown, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLung cancer screening (LCS) with low-dose computed tomography (LDCT) reduces lung cancer-specific mortality in high-risk populations, yet screening rates remain low nationwide. Electronic health record (EHR) health maintenance tracking may support guideline-concordant screening, but implementation varies across outpatient settings.

objectiveTo evaluate the association between manually adding the LCS health maintenance topic in the EHR and completion of LDCT screening in a resident-run outpatient clinic.

methodsThis retrospective cross-sectional study evaluated adult patients at a resident-run Federally Qualified Health Center Look-Alike clinic who met age and smoking history criteria for LCS in October 2024. Patients were categorized based on whether the LCS health maintenance topic was manually added within the Epic EHR and whether LDCT screening had been completed. Screening completion rates were compared using a chi-square test.

resultsAmong 305 eligible patients, 130 (43%) completed LDCT screening. Of screened patients, 96 (74%) had the LCS health maintenance topic added, compared with 86 (49%) of 175 (57%) unscreened patients. Adding the LCS health maintenance topic was significantly associated with LDCT screening completion (p<0.001).

conclusionHaving the LCS health maintenance topic activated in the EHR was associated with higher rates of LDCT screening completion in a resident-run clinic compared with not having the LCS health maintenance topic activated. These findings support the role of having the LCS health maintenance topic added in the EHR as a practical strategy to reinforce preventive care delivery in outpatient practice.

Indexed as

clinical decision supportelectronic health recordlow-dose computed tomographylung cancer screeningprimary carequality improvementresident education

Identifiers

PMID42903378
PMCPMC13681281

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Registered trials

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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.