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Research ArticleOriginal Research

Lung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest

Eitan Novogrodsky, Linda B. Haramati, Geraldine M. Villasana-Gomez, Jessica Goldman, Cyril Rosenfeld, Jessica K. Rosenblum, James W. Sayre, Anne C. Hoyt, Jonathan G. Goldin and Hannah S. Milch
The Journal of the American Board of Family Medicine August 2023, 36 (4) 557-564; DOI: https://doi.org/10.3122/jabfm.2022.220423R1
Eitan Novogrodsky
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
MD
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Linda B. Haramati
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
MD, MS
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Geraldine M. Villasana-Gomez
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
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Jessica Goldman
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
MD
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Cyril Rosenfeld
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
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Jessica K. Rosenblum
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
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James W. Sayre
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
PhD
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Anne C. Hoyt
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
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Jonathan G. Goldin
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
MD, PhD
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Hannah S. Milch
From the Department of Radiology, Montefiore Medical Center, Bronx, New York (EN, JG,); Albert Einstein College of Medicine, Bronx, New York (EN, LBH, GMV, JG, CR, JKR); Departments of Radiology and Medicine, Montefiore Medical Center, Bronx, New York (LBH); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut (LBH), Department of Radiology, Jacobi Medical Center, Bronx, New York (GMV, CR, JKR); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, California (JWS, ACH, JGG, HSM).
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    Figure 1.

    Paper survey in Spanish and English.

Tables

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    Table 1.

    Census Data for Communities Served by the Participating East and West Coast Institutions

    East CoastWest Coast
    Median household income$38,085$94,174
    Bachelor’s degree or higher (%)19.8%67.7%
    Race and ethnicity, largest categories (%)
     Non-Hispanic White9%53%
     Black44%3%
     Hispanic56%17%
     Asian5%21%
    • View popup
    Table 2.

    Demographic Data

    Cumulative (n = 5512)East Coast (n = 810)West Coast (n = 4702)p-Value
    Mean age (SD, range)58 (SD, 11, range 18 to 89)56.7 (SD, 11, range 18 to 89)58 (SD, 11, range 20 to 89)0.0019
    Spanish survey use288 (5%)280 (35%)8 (0.1%)<0.0001
    • Abbreviation: SD, standard deviation.

    • Comparisons made using two independent samples Student’s t test.

    • View popup
    Table 3.

    Smoking History

    Cumulative (5512)East Coast (810)West Coast (4702)p-Value
    Any history of smoking, N (%)1824 (33%)237 (29%)1587 (34%)0.033
    Former smoker, N (%)1656 (30%)174 (21%)1482 (32%)<0.0001
    Current smoker, N (%)156 (3%)57 (7%)99 (2%)<0.0001
    NOS, N (%)19 (0.3%)14 (2%)5 (0.1%)<0.001
    Median pack years among smokers1010101.0
    • Abbreviation: NOS, Not otherwise specified.

    • Comparisons made using χ2 tests.

    • View popup
    Table 4.

    LCS Eligibility Among Smokers

    Cumulative Smokers (1824)East Coast Smokers (237)West Coast Smokers (1587)p-value
    Eligibility by 2013 USPSTF Guidelines, N (%)127 (7%)23 (10%)104 (7%)0.071
    Eligibility by 2021 USPSTF Guidelines, N (%)207 (11.3%)33 (14%)174 (11%)0.173
    • Abbreviations: LCS, Lung cancer screening; USPSTF, United States Preventive Services Task Force.

    • Comparisons made using χ2 tests.

    • View popup
    Table 5.

    Awareness of LCS, Interest in LCS, and History of Prior LCS Among Patients Eligible for LCS by 2021 USPSTF Guidelines

    Cumulative (207)East Coast (33)West Coast (174)p-Value
    Awareness of LCS, N (%)87 (42%)14 (42%)73 (42%)0.957
    Interest in LCS, N (%)151 (73%)25 (76%)126 (72%)0.696
    History of Prior LCS, N (%)57 (28%)9 (27%)48 (28%)0.972
    • Abbreviations: LCS, Lung cancer screening; USPSTF, United States Preventive Services Task Force.

    • Comparisons made using χ2 tests.

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The Journal of the American Board of Family     Medicine: 36 (4)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 4
July-August 2023
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Lung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest
Eitan Novogrodsky, Linda B. Haramati, Geraldine M. Villasana-Gomez, Jessica Goldman, Cyril Rosenfeld, Jessica K. Rosenblum, James W. Sayre, Anne C. Hoyt, Jonathan G. Goldin, Hannah S. Milch
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 557-564; DOI: 10.3122/jabfm.2022.220423R1

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Lung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest
Eitan Novogrodsky, Linda B. Haramati, Geraldine M. Villasana-Gomez, Jessica Goldman, Cyril Rosenfeld, Jessica K. Rosenblum, James W. Sayre, Anne C. Hoyt, Jonathan G. Goldin, Hannah S. Milch
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 557-564; DOI: 10.3122/jabfm.2022.220423R1
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