期刊
JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION
卷 112, 期 2, 页码 209-214出版社
NATL MED ASSOC
DOI: 10.1016/j.jnma.2019.10.002
关键词
Lung cancer screening; Health disparities; Primary cares; Minonty health; Health promotion; Disease prevention
资金
- Robert Wood Johnson Foundation Health Policy Research Scholars program [73921]
- National Cancer Institute [1K01CA218473-01A1, 1R01CA150980-04S1]
- National Cancer Institute of the National Institutes of Health [R25CA116339]
- North Carolina Translational and Clinical Sciences Institute [2KR691512]
- National Comprehensive Cancer Network/Pfizer Independent Grants for Learning and Change
Background: Lung cancer is the leading cause of cancer death in the US, and significant racial disparities exist in rung cancer outcomes. For example, Black men experience higher lung cancer incidence and mortality rates than their White counterparts. New screening recommendations for low-dose computed tomography (LDCT) promote earlier detection of lung cancer in at-risk populations and can potentially help mitigate racial disparities in lung cancer mortality if administered equitably. Yet, little is known about the extent of racial differences in uptake of LDCT. Objective: To evaluate potential racial disparities in LDCT screening in a large community-based cancer center in central North Carolina. Methods: We conducted a retrospective study of the initial patients undergoing LDCT in a community-based cancer center (n = 262). We used the Pearson chi-squared test to assess potential racial disparities in LDCT screening. Results: Study results suggest that Black patients may be less likely than White patients to receive LDCT screening when eligible (chi(2) = 51.41, p < 0.0001). Conclusion: Collaboration among healthcare providers. researchers. and decision makers is needed to promote LDCT equity.
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