Fred Hutchinson Cancer Center
This clinical trial tests the impact of lung cancer screening care coordination interventions implemented at the system-level on lung cancer screening adherence in community settings. Lung cancer remains the leading cause of cancer death in the United States. Although lung cancer screening (LCS) with yearly low-dose chest computed tomography has the potential to decrease lung deaths, the use of this screening technique remains low. In addition, studies have shown that adherence to lung cancer screening in clinical settings is far lower that those found in clinical trials. Improved care coordination services that include comprehensive, system-wide tracking of screening outcomes for all LCS participants, results reporting with direct-to-patient information, direct patient and physician communication, and active reviews of non-adherent patients and stepped support interventions may increase patient adherence to LCS. Coordination services at the system-level may decrease barriers and improve adherence to lung cancer screening in community settings.
OUTLINE: Patients receive lung cancer screening follow-up care coordination services, delivered by a lung cancer screening care coordinator at their care site.
Inclusion Criteria: * AIM II: Age 50-80 * AIM II: Current or former (within 15 years) smoker * AIM II: 20+ pack-years of cigarette use * AIM II: Undergone at least one lung cancer screening low-dose chest computed tomography (CT) at partnering sites within the study period * AIM III (PROVIDER INTERVIEWS): Age minimum of 18 * AIM III (PROVIDER INTERVIEWS): Affiliation with Skagit Regional Health System, Confluence Health or Kadlec Regional Medical Center * AIM III (PROVIDER INTERVIEWS): Identifies as providing primary care or specialty care to LCS patients (medical doctor \[MD\], registered nu…
Ancillary studies
Ancillary studies
Receive lung cancer screening care coordination services
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