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This book is a comprehensive guide to lung cancer screening for clinicians, healthcare systems, community leaders, and public health officials with the hope of creating a more equitable landscape in both lung cancer screening and lung cancer-related outcomes, at local, state, and national levels. Authors take a new approach to primary and secondary lung cancer prevention that is in the early stages of adoption in the United States. The last decade ushered in recognition of screening as an effective intervention, but unfortunately, despite the wide acceptance of the importance of this new screening modality, nationally, not more than 5% of eligible subjects have undergone screening to date in the United States, although in some states uptake has reached as high as 16%. As is common with any new preventive cancer screening, racial and socioeconomic disparities emerge in utilization, stage at diagnosis, and mortality. Over time, these disparities decline, but consequential differences endure. Therefore, it is critical to establish equitable screening practices.
The true measure of the effectiveness of any lung cancer screening program needs to be viewed through the lens of its impact on populations, including those most affected by the morbidity and mortality of smoking-related illness and lung cancer. As such, this book emphasizes a number of important public health topics, including community outreach to vulnerable populations, social justice issues, addressing stigma and fatalism in the general community, and the use of geocoding to assess a program’s impact at a population level. This book weaves traditional topics related to lung cancer screening, such as promoting initial and repeat screening, interpreting Lung RADs, and managing the follow-up of findings, into the population perspective in order to present a unified, comprehensive approach to the subject. Further, it serves as a guide that health systems, health care professionals, community leaders, and other stakeholders can use to achieve the promise of lung cancer screening.
Pages i-xiv
Front Matter
Pages 1-1
The Promise of Lung Cancer Screening
Pages 3-8
A Brief History of Lung Cancer Screening
Pages 9-14
Stigma and Fatalism in Lung Cancer
Pages 15-24
Pages 25-35
Smoking Cessation in a Lung Cancer Screening Program
Pages 37-46
Why Health Equity Is So Important in Lung Cancer Screening?
Pages 47-52
Front Matter
Pages 53-53
Engaging a Health System Learning Community to Increase Lung Cancer Screening
Pages 55-66
Different Approaches for Offering Lung Cancer Screening
Pages 67-77
Enhancing EMR Methods to Identify Patients Eligible for Lung Cancer Screening
Pages 79-88
Primary Care Provider Support and Patient Outreach in Lung Cancer Screening
Pages 89-99
Shared Decision Making in the Lung Cancer Screening Context
Pages 101-116
Pages 117-122
Front Matter
Pages 123-123
Organizational Workflow for Lung Cancer Screening
Pages 125-132
Lung-RADS® and Radiology Reporting Requirements
Pages 133-144
Pages 145-158
Leveraging the Electronic Health Record for Continuous Quality
Pages 159-168
Pages 169-176
Pages 177-181
Managing Lung Cancer Screening in a Major Healthcare System
Pages 183-197
Pages 199-208
Front Matter
Pages 209-209
Pages 211-226
Local Therapy for Early-Stage Lung Cancer
Pages 227-234
The Revolution of Lung Cancer Therapeutics
Pages 235-249
Front Matter
Pages 251-251
Lung Cancer and Social Justice: What Do I Need to Know?
Pages 253-262
Reaching Vulnerable Populations and Areas of Need
Pages 263-274
Lung Cancer Myths and How Do I Address Them?
Pages 275-284
Pages 285-293
Front Matter
Pages 295-295
Lung Cancer Screening: Addressing Disparities
Pages 297-306
Connecting the Dots: Geocoding and Assessing a Program’s Impact
Pages 307-328
Pages 329-335
Front Matter
Pages 337-337
Lung Cancer Screening in Health Systems: Needs, Challenges, and Opportunities
Pages 339-352
Pages 353-361
Pages 363-372
Imagining an Equitable Lung Cancer Screening Landscape
Pages 373-380
Pages 381-390
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