Cardiothoracic Surgery: Cardiothoracic Surgery |

Randomized Electronic Promotion of Lung Cancer Screening FREE TO VIEW

Abbie Begnaud, MD; Bruce Lindgren, MS
Author and Funding Information

University of Minnesota, Minneapolis, MN

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):28A. doi:10.1016/j.chest.2016.08.035
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SESSION TITLE: Cardiothoracic Surgery

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Lung cancer screening (LCS) program launched December 2013 at an academic and community health care system. However, LCS uptake has been less than expected. Furthermore, we experienced a large number of screening exams ordered but never completed. This may be due to both provider and patient unawareness of screening eligibility and reimbursement. In an effort to improve awareness and uptake of lung cancer screening, we tested the following hypothesis: Offering accurate lung cancer screening information directly to patients will result in more eligible patients being offered screening than usual care.

METHODS: A pilot study was performed with 200 patients randomly selected and assigned to electronic invitation or usual care. Included patients were aged 55 - 79 former smokers who were signed up for MyChart (the electronic health record patient communication tool). “Possibly eligible” patients were former smokers in the age range recommended for LCS because they frequently have incomplete smoking history entered. Possibly eligible persons were sent electronic messages with information about lung cancer screening and inviting them to complete a smoking history questionnaire to assess eligibility for screening. If eligibility confirmed, patients receive detailed information about the risks and benefits of lung cancer screening, along with an order in the EHR. They also receive a phone number to call and schedule the screening exam. Pilot success would be determined with a response rate of 33%.

RESULTS: 100 patients were electronically invited to assess eligibility for lung cancer screening via smoking history questionnaire. Seven patients responded but none were eligible for lung cancer screening. 30 patients failed to open the electronic invitation message. 100 patients in the control group were followed to determine if screening occurred through usual care. Follow up is ongoing through April 2016.

CONCLUSIONS: We hypothesized that circumventing potential boundaries to screening would result in more eligible patients being screened within a three-month period. Electronic promotion of lung cancer screening may not be an effective and efficient method to reach eligible persons.

CLINICAL IMPLICATIONS: Leveraging EHR patient communication tool may be a useful way to educate patients about preventative health measures but the optimal technique remains to be determined.

DISCLOSURE: The following authors have nothing to disclose: Abbie Begnaud, Bruce Lindgren

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