Population-based systematic enrolment of individuals ensures high lung cancer screening uptake
Introduction: Lung cancer screening (LCS) is recommended by international societies, yet it is still debated how to efficiently enrol participants. The aim of this study was to evaluate systematic enrolment of patients through family physicians in a regional LCS pilot study in Estonia. Material and...
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Elsevier
2024-01-01
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| Series: | Cancer Treatment and Research Communications |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468294225000279 |
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| author | Tanel Laisaar Kadi Kallavus Anneli Poola Mari Räppo Merily Taur Vahur Makke Marianna Frik Pilvi Ilves Kaja-Triin Laisaar |
| author_facet | Tanel Laisaar Kadi Kallavus Anneli Poola Mari Räppo Merily Taur Vahur Makke Marianna Frik Pilvi Ilves Kaja-Triin Laisaar |
| author_sort | Tanel Laisaar |
| collection | DOAJ |
| description | Introduction: Lung cancer screening (LCS) is recommended by international societies, yet it is still debated how to efficiently enrol participants. The aim of this study was to evaluate systematic enrolment of patients through family physicians in a regional LCS pilot study in Estonia. Material and methods: This study was conducted in one county (with approximately 10 % of the country's population), where all family physicians were approached. In each participating practice, all 55- to 74-year-old individuals were identified and evaluated by the family physician or nurse. Two LCS inclusion criteria were used in parallel – individuals with elevated lung cancer (LC) risk, according to either smoking status (≥20 pack-years; quit <15 years ago) and/or a PLCOm2012noRace risk score (>1.5 %/6 years), underwent low-dose computed tomography (LDCT). The scans were evaluated and participants managed according to LungRADS 1.1 protocol. Results: Seventy-four participating family physician practices had 26 759 patients in the target age group. During the inclusion period 24 413 individuals were evaluated, of whom 17 215 were excluded. Of the remaining 7198 individuals, 3708 had higher LC risk and were referred for LDCT. Of the 3444 individuals who underwent LDCT, 30 were diagnosed with LC. Considering the total LCS target age group, an estimated participation rate of 79.3 % (95 %CI 78.1 %–80.5 %) was achieved. Conclusion: Population-based systematic enrolment of participants for LCS by family physicians and nurses ensured very high uptake in the target group, providing a valuable reference for planning LCS programs in countries with family physicians on board. |
| format | Article |
| id | doaj-art-d7e080276a704dcabb5bb7ed2ba63f8a |
| institution | DOAJ |
| issn | 2468-2942 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Cancer Treatment and Research Communications |
| spelling | doaj-art-d7e080276a704dcabb5bb7ed2ba63f8a2025-08-20T02:46:24ZengElsevierCancer Treatment and Research Communications2468-29422024-01-014310088910.1016/j.ctarc.2025.100889Population-based systematic enrolment of individuals ensures high lung cancer screening uptakeTanel Laisaar0Kadi Kallavus1Anneli Poola2Mari Räppo3Merily Taur4Vahur Makke5Marianna Frik6Pilvi Ilves7Kaja-Triin Laisaar8Lung Clinic, Tartu University Hospital, Tartu, Estonia; Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia; Lung Clinic, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia; Corresponding author at: Head of Lung Clinic, Tartu University Hospital, Puusepa 8, 50406 Tartu, Estonia.Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia; Lung Clinic, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaLung Clinic, Tartu University Hospital, Tartu, EstoniaLung Clinic, Tartu University Hospital, Tartu, Estonia; Institute of Family Medicine and Public Health, University of Tartu, Tartu, EstoniaLung Clinic, Tartu University Hospital, Tartu, EstoniaRadiology Clinic, Tartu University Hospital, Tartu, EstoniaRadiology Clinic, Tartu University Hospital, Tartu, EstoniaLung Clinic, Tartu University Hospital, Tartu, Estonia; Radiology Clinic, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, EstoniaIntroduction: Lung cancer screening (LCS) is recommended by international societies, yet it is still debated how to efficiently enrol participants. The aim of this study was to evaluate systematic enrolment of patients through family physicians in a regional LCS pilot study in Estonia. Material and methods: This study was conducted in one county (with approximately 10 % of the country's population), where all family physicians were approached. In each participating practice, all 55- to 74-year-old individuals were identified and evaluated by the family physician or nurse. Two LCS inclusion criteria were used in parallel – individuals with elevated lung cancer (LC) risk, according to either smoking status (≥20 pack-years; quit <15 years ago) and/or a PLCOm2012noRace risk score (>1.5 %/6 years), underwent low-dose computed tomography (LDCT). The scans were evaluated and participants managed according to LungRADS 1.1 protocol. Results: Seventy-four participating family physician practices had 26 759 patients in the target age group. During the inclusion period 24 413 individuals were evaluated, of whom 17 215 were excluded. Of the remaining 7198 individuals, 3708 had higher LC risk and were referred for LDCT. Of the 3444 individuals who underwent LDCT, 30 were diagnosed with LC. Considering the total LCS target age group, an estimated participation rate of 79.3 % (95 %CI 78.1 %–80.5 %) was achieved. Conclusion: Population-based systematic enrolment of participants for LCS by family physicians and nurses ensured very high uptake in the target group, providing a valuable reference for planning LCS programs in countries with family physicians on board.http://www.sciencedirect.com/science/article/pii/S2468294225000279Lung cancerScreeningEnrolmentPrimary careParticipation rate |
| spellingShingle | Tanel Laisaar Kadi Kallavus Anneli Poola Mari Räppo Merily Taur Vahur Makke Marianna Frik Pilvi Ilves Kaja-Triin Laisaar Population-based systematic enrolment of individuals ensures high lung cancer screening uptake Cancer Treatment and Research Communications Lung cancer Screening Enrolment Primary care Participation rate |
| title | Population-based systematic enrolment of individuals ensures high lung cancer screening uptake |
| title_full | Population-based systematic enrolment of individuals ensures high lung cancer screening uptake |
| title_fullStr | Population-based systematic enrolment of individuals ensures high lung cancer screening uptake |
| title_full_unstemmed | Population-based systematic enrolment of individuals ensures high lung cancer screening uptake |
| title_short | Population-based systematic enrolment of individuals ensures high lung cancer screening uptake |
| title_sort | population based systematic enrolment of individuals ensures high lung cancer screening uptake |
| topic | Lung cancer Screening Enrolment Primary care Participation rate |
| url | http://www.sciencedirect.com/science/article/pii/S2468294225000279 |
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