0
Original Research |

Effects of Implementation of Lung Cancer Screening at One Veterans Affairs Medical Center

Ikenna C. Okereke, M.D.; Maria F. Bates, M.D.; Matthew D. Jankowich, M.D.; Sharon I. Rounds, M.D.; Brian A. Kimble, M.D.; Janelle V. Baptiste, M.D.; Thomas T. Ng, M.D.; Linda L. Nici, M.D.
Author and Funding Information

1Division of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, TX

2Department of Surgery, Warren Alpert Medical School of Brown University

3Department of Medicine, Warren Alpert Medical School of Brown University and Providence Veterans Affairs Medical Center, Providence, RI

Corresponding author. Thoracic Surgery University of Texas Medical Branch 301 University Blvd Galveston, TX 77555.


Copyright 2016, . All Rights Reserved.


Chest. 2016. doi:10.1016/j.chest.2016.08.1431
Text Size: A A A
Published online

Abstract

Background  Lung cancer screening recommendations have been developed, but none has focused on veterans. We report the results of the lung cancer screening program at our Veterans Affairs Medical Center and compare them to historic results.

Methods  All veterans between 55 and 74 years who were current smokers or quit within the past 15 years and had at least a 30 pack year smoking history were invited to receive an annual low-dose chest computerized tomography (CT) scan beginning in December 2013. Demographics, CT results, and pathologic data of screened patients were recorded retrospectively. Overall results during the screening period were compared to results in veterans diagnosed from January 2011 to December 2013 (pre-screening period).

Results  From December 2013 through December 2014 (screening period) 1,832 patients obtained a screening CT scan. Mean age was 65. A lung nodule was present in 24% (439/1832) of patients. Lung cancer was diagnosed in 3.0% (55/1832) of screened patients. During the pre-screening period, 37% (30/82) of every lung cancer detected at our center was Stage I or Stage II. After implementation of the screening program that percentage rose to 60% (52/87, p <0.01). During the screening period 63% (55/87) of all diagnosed lung cancers were detected through the screening program. The number of lung cancers detected per month rose from 2.4 to 6.7 after implementation of the screening program (p <0.01).

Conclusions  Implementation of lung cancer screening in the veteran population leads to detection of increased number and proportion of early stage lung cancers. Lung cancer screening in veterans may also increase the rate of lung cancer diagnoses in the immediate post-implementation period.


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543