Addressing disparities in lung cancer screening eligibility and healthcare access: An official American Thoracic Society statement Guidelines
| Authors: | Rivera, M. P.; Katki, H. A.; Tanner, N. T.; Triplette, M.; Sakoda, L. C.; Soylemez Wiener, R.; Cardarelli, R.; Carter-Harris, L.; Crothers, K.; Fathi, J. T.; Ford, M. E.; Smith, R.; Winn, R. A.; Wisnivesky, J. P.; Henderson, L. M.; Aldrich, M. C.; on behalf of the American Thoracic Society Assembly on Thoracic Oncology |
| Title: | Addressing disparities in lung cancer screening eligibility and healthcare access: An official American Thoracic Society statement |
| Abstract: | Background: There are well-documented disparities in lung cancer outcomes across populations. Lung cancer screening (LCS) has the potential to reduce lung cancer mortality, but for this benefit to be realized by all high-risk groups, there must be careful attention to ensuring equitable access to this lifesaving preventive health measure. Objectives: To outline current knowledge on disparities in eligibility criteria for, access to, and implementation of LCS, and to develop an official American Thoracic Society statement to propose strategies to optimize current screening guidelines and resource allocation for equitable LCS implementation and dissemination. Methods: A multidisciplinary panel with expertise in LCS, implementation science, primary care, pulmonology, health behavior, smoking cessation, epidemiology, and disparities research was convened. Participants reviewed available literature on historical disparities in cancer screening and emerging evidence of disparities in LCS. Results: Existing LCS guidelines do not consider racial, ethnic, socioeconomic, and sex-based differences in smoking behaviors or lung cancer risk. Multiple barriers, including access to screening and cost, further contribute to the inequities in implementation and dissemination of LCS. Conclusions: This statement identifies the impact of LCS eligibility criteria on vulnerable populations who are at increased risk of lung cancer but do not meet eligibility criteria for screening, as well as multiple barriers that contribute to disparities in LCS implementation. Strategies to improve the selection and dissemination of LCS in vulnerable groups are described. Copyright © 2020 by the American Thoracic Society |
| Keywords: | lung cancer screening; barriers to lung cancer screening; disparities in lung cancer screening |
| Journal Title: | American Journal of Respiratory and Critical Care Medicine |
| Volume: | 202 |
| Issue: | 7 |
| ISSN: | 1073-449X |
| Publisher: | American Thoracic Society |
| Date Published: | 2020-10-01 |
| Start Page: | e95 |
| End Page: | e112 |
| Language: | English |
| DOI: | 10.1164/rccm.202008-3053ST |
| PUBMED: | 33000953 |
| PROVIDER: | scopus |
| PMCID: | PMC7528802 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 2 November 2020 -- Source: Scopus |
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