Rationale and design of the lung cancer screening implementation: Evaluation of patient-centered care study

Leah S. Miranda, Santanu Datta, Anne C Melzer, Renda Soylemez Wiener, James M. Davis, Betty C. Tong, Sara E. Golden, Christopher G. Slatore

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Screening for lung cancer using low-dose computed tomography has been demonstrated to reduce lung cancer-related mortality and is being widely implemented. Further research in this area is needed to assess the impact of screening on patient-centered outcomes. Here, we describe the design and rationale for a new study entitled Lung Cancer Screening Implementation: Evaluation of Patient-Centered Care. The protocol is composed of an interconnected series of studies evaluating patients and clinicians who are engaged in lung cancer screening in real-world settings. The primary goal of this study is to evaluate communication processes that are being used in routine care and to identify best practices that can be readily scaled up for implementation in multiple settings. We hypothesize that higher overall quality of patient–clinician communication processes will be associated with lower levels of distress and decisional conflict as patients decide whether or not to participate in lung cancer screening. This work is a critical step toward identifying modifiable mechanisms that are associated with high quality of care for the millions of patients who will consider lung cancer screening. Given the enormous potential benefits and burdens of lung cancer screening on patients, clinicians, and the healthcare system, it is important to identify and then scale up quality communication practices that positively influence patient-centered care.

Original languageEnglish (US)
Pages (from-to)1581-1590
Number of pages10
JournalAnnals of the American Thoracic Society
Volume14
Issue number10
DOIs
StatePublished - Oct 2017

Bibliographical note

Funding Information:
Supported by American Cancer Society award 128737-RSG-155-01-CPPB (Lung Cancer Screening Implementation: Evaluation of Patient-Centered Care), and by resources from the Veterans Affairs (VA) Portland Health Care System (Portland, OR), and the Edith Nourse Rogers Memorial VA Hospital (Bedford, MA).

Keywords

  • Lung cancer screening
  • Patient-centered outcomes research
  • Patient–clinician communication

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