Patient-provider discussions about lung cancer screening pre- and post-guidelines: Health Information National Trends Survey (HINTS)

Lisa Carter-Harris, Andy S.L. Tan, Ramzi G. Salloum, Kelly C. Young-Wolff

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objective In 2013, the USPSTF issued a Grade B recommendation that long-term current and former smokers receive lung cancer screening. Shared decision-making is important for individuals considering screening, and patient-provider discussions an essential component of the process. We examined prevalence and predictors of lung cancer screening discussions pre- and post-USPSTF guidelines. Methods Data were obtained from two cycles of the Health Information National Trends Survey (2012; 2014). The analyzed sample comprised screening-eligible current and former smokers with no personal history of lung cancer (n = 746 in 2012; n = 795 in 2014). Descriptive and multiple logistic regression analyses were conducted; patient-reported discussion about lung cancer screening with provider was the outcome of interest. Results Contrary to expectations, patient-provider discussions about lung cancer screening were more prevalent pre-guideline, but overall patient-provider discussions were low in both years (17% in 2012; 10% in 2014). Current smokers were more likely to have had a discussion than former smokers. Significant predictors of patient-provider discussions included family history of cancer and having healthcare coverage. Conclusions The prevalence of patient-provider discussions about lung cancer screening is suboptimal. Practice implications There is a critical need for patient and provider education about shared decision-making and its importance in cancer screening decisions.

Original languageEnglish (US)
Pages (from-to)1772-1777
Number of pages6
JournalPatient Education and Counseling
Volume99
Issue number11
DOIs
StatePublished - Nov 1 2016

Keywords

  • HINTS
  • Health Information National Trends Survey
  • Health communication
  • Lung cancer screening
  • Patient-provider discussion
  • Shared decision making

ASJC Scopus subject areas

  • Medicine(all)

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