Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan
Purpose The National Lung Screening Trial (NLST) has renewed interest in low-dose computed tomography (LDCT) screening for lung cancer. Smokers may be less receptive toward LDCT screening, however, compared with never smokers. The views of patients with COPD, a particularly high-risk group, toward L...
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| Veröffentlicht in: | Lung 2012-12, Vol.190 (6), p.621-628 |
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| creator | Pallin, M. Walsh, S. O’Driscoll, M. F. Murray, C. Cahalane, A. Brown, L. Carter, M. Mitchell, P. McDonnell, T. J. Butler, M. W. |
| description | Purpose
The National Lung Screening Trial (NLST) has renewed interest in low-dose computed tomography (LDCT) screening for lung cancer. Smokers may be less receptive toward LDCT screening, however, compared with never smokers. The views of patients with COPD, a particularly high-risk group, toward LDCT screening for lung cancer are currently unknown. We therefore evaluated attitudes of patients with COPD toward LDCT screening for lung cancer.
Methods
Interviews with Irish patients with COPD who satisfied NLST eligibility criteria were conducted in clinical settings using a questionnaire based on that of a comparable study of U.S. current/former smokers of unspecified disease status.
Results
A total of 142 subjects had a mean age of 65.09 ± 6.07 years (46.4 % were male, mean pack years 54.5 ± 33.3, mean FEV1 59.16 ± 23 %); 97.8 % had an identifiable usual source of healthcare. Compared with data from a U.S. cohort of current/former smokers, a higher proportion of Irish COPD smokers: believed that they were at risk for lung cancer (63.6 vs. 15.7 %); believed that early detection improved chances of survival (90 vs. 51.2 %); were willing to consider LDCT screening (97.9 vs. 78.6 %); were willing to pay for a LDCT scan (68.6 vs. 36.2 %); and were willing to accept treatment recommendations arising (95.7 vs. 56.2 %;
p
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| doi_str_mv | 10.1007/s00408-012-9421-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1237511444</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A360995157</galeid><sourcerecordid>A360995157</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-ec18f94977f3d5b1b8deaef9609513114e4de0ea2141f86a2fc48be45abf083</originalsourceid><addsrcrecordid>eNp1kt1rFDEUxYModq3-Ab5IQBBfUnMzyXw8LlM_Cgtb2PocMjM3u1NmkjWZsfS_N8tWbWUlDyG5v3M4XA4hb4FfAOfFp8i55CXjIFglBbDqGVmAzASDQvHnZMEzCUwk5oy8ivGWcyhyUC_Jmch4LmVZLEiz_onhbofD2Lst3cz7vQ8TXY4-vb6Hxjh6Ffq4o_X6-pJem6lHN0VqfaCrOSG1cS0GumkDojs4NPd05e_YpY9I65s0MO41eWHNEPHNw31ONl8-39Tf2Gr99aperlireDkxbKG0layKwmadaqApOzRoq5xXCjIAibJDjkaABFvmRthWlg1KZRrLy-ycfDy67oP_MWOc9NjHFofBOPRz1CCyQiUXKRP6_h_01s_BpWyJynNZKQ7ZX2prBtS9s34Kpj2Y6mWWQqVUqkgUO0Ft0WEwg3do-_T9hL84wafT4di3JwUfHgl2aIZpF_0wT7138SkIR7ANPsaAVu9DP5pwr4HrQ130sS461UUf6qKrpHn3sIm5GbH7o_jdjwSIIxDTyG0xPFrVf11_AeJcxdA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1266495013</pqid></control><display><type>article</type><title>Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Pallin, M. ; Walsh, S. ; O’Driscoll, M. F. ; Murray, C. ; Cahalane, A. ; Brown, L. ; Carter, M. ; Mitchell, P. ; McDonnell, T. J. ; Butler, M. W.</creator><creatorcontrib>Pallin, M. ; Walsh, S. ; O’Driscoll, M. F. ; Murray, C. ; Cahalane, A. ; Brown, L. ; Carter, M. ; Mitchell, P. ; McDonnell, T. J. ; Butler, M. W.</creatorcontrib><description>Purpose
The National Lung Screening Trial (NLST) has renewed interest in low-dose computed tomography (LDCT) screening for lung cancer. Smokers may be less receptive toward LDCT screening, however, compared with never smokers. The views of patients with COPD, a particularly high-risk group, toward LDCT screening for lung cancer are currently unknown. We therefore evaluated attitudes of patients with COPD toward LDCT screening for lung cancer.
Methods
Interviews with Irish patients with COPD who satisfied NLST eligibility criteria were conducted in clinical settings using a questionnaire based on that of a comparable study of U.S. current/former smokers of unspecified disease status.
Results
A total of 142 subjects had a mean age of 65.09 ± 6.07 years (46.4 % were male, mean pack years 54.5 ± 33.3, mean FEV1 59.16 ± 23 %); 97.8 % had an identifiable usual source of healthcare. Compared with data from a U.S. cohort of current/former smokers, a higher proportion of Irish COPD smokers: believed that they were at risk for lung cancer (63.6 vs. 15.7 %); believed that early detection improved chances of survival (90 vs. 51.2 %); were willing to consider LDCT screening (97.9 vs. 78.6 %); were willing to pay for a LDCT scan (68.6 vs. 36.2 %); and were willing to accept treatment recommendations arising (95.7 vs. 56.2 %;
p
< 0.0001 for all comparisons).
Conclusions
Urban Irish smokers with COPD who would be eligible for LDCT screening are almost universally in favor of being screened and treated for screening-detected lung cancers. This readily accessible high-risk population should be actively targeted in future screening programs.</description><identifier>ISSN: 0341-2040</identifier><identifier>EISSN: 1432-1750</identifier><identifier>DOI: 10.1007/s00408-012-9421-9</identifier><identifier>PMID: 23064487</identifier><identifier>CODEN: LUNGD9</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Aged ; Attitude to Health ; Attitudes ; Care and treatment ; Chronic obstructive pulmonary disease ; CT imaging ; Diagnosis ; Early Detection of Cancer - psychology ; Female ; Humans ; Ireland ; Lung cancer ; Lung Neoplasms - diagnosis ; Male ; Medical screening ; Medicine ; Medicine & Public Health ; Middle Aged ; Patient Acceptance of Health Care ; Pneumology/Respiratory System ; Prognosis ; Pulmonary Disease, Chronic Obstructive - psychology ; Radiation Dosage ; Risk factors ; Smoking ; Tomography ; Tomography, X-Ray Computed ; Urban health care ; Urban Population</subject><ispartof>Lung, 2012-12, Vol.190 (6), p.621-628</ispartof><rights>Springer Science+Business Media New York 2012</rights><rights>COPYRIGHT 2012 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-ec18f94977f3d5b1b8deaef9609513114e4de0ea2141f86a2fc48be45abf083</citedby><cites>FETCH-LOGICAL-c508t-ec18f94977f3d5b1b8deaef9609513114e4de0ea2141f86a2fc48be45abf083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00408-012-9421-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00408-012-9421-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23064487$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pallin, M.</creatorcontrib><creatorcontrib>Walsh, S.</creatorcontrib><creatorcontrib>O’Driscoll, M. F.</creatorcontrib><creatorcontrib>Murray, C.</creatorcontrib><creatorcontrib>Cahalane, A.</creatorcontrib><creatorcontrib>Brown, L.</creatorcontrib><creatorcontrib>Carter, M.</creatorcontrib><creatorcontrib>Mitchell, P.</creatorcontrib><creatorcontrib>McDonnell, T. J.</creatorcontrib><creatorcontrib>Butler, M. W.</creatorcontrib><title>Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan</title><title>Lung</title><addtitle>Lung</addtitle><addtitle>Lung</addtitle><description>Purpose
The National Lung Screening Trial (NLST) has renewed interest in low-dose computed tomography (LDCT) screening for lung cancer. Smokers may be less receptive toward LDCT screening, however, compared with never smokers. The views of patients with COPD, a particularly high-risk group, toward LDCT screening for lung cancer are currently unknown. We therefore evaluated attitudes of patients with COPD toward LDCT screening for lung cancer.
Methods
Interviews with Irish patients with COPD who satisfied NLST eligibility criteria were conducted in clinical settings using a questionnaire based on that of a comparable study of U.S. current/former smokers of unspecified disease status.
Results
A total of 142 subjects had a mean age of 65.09 ± 6.07 years (46.4 % were male, mean pack years 54.5 ± 33.3, mean FEV1 59.16 ± 23 %); 97.8 % had an identifiable usual source of healthcare. Compared with data from a U.S. cohort of current/former smokers, a higher proportion of Irish COPD smokers: believed that they were at risk for lung cancer (63.6 vs. 15.7 %); believed that early detection improved chances of survival (90 vs. 51.2 %); were willing to consider LDCT screening (97.9 vs. 78.6 %); were willing to pay for a LDCT scan (68.6 vs. 36.2 %); and were willing to accept treatment recommendations arising (95.7 vs. 56.2 %;
p
< 0.0001 for all comparisons).
Conclusions
Urban Irish smokers with COPD who would be eligible for LDCT screening are almost universally in favor of being screened and treated for screening-detected lung cancers. This readily accessible high-risk population should be actively targeted in future screening programs.</description><subject>Aged</subject><subject>Attitude to Health</subject><subject>Attitudes</subject><subject>Care and treatment</subject><subject>Chronic obstructive pulmonary disease</subject><subject>CT imaging</subject><subject>Diagnosis</subject><subject>Early Detection of Cancer - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Ireland</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - diagnosis</subject><subject>Male</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care</subject><subject>Pneumology/Respiratory System</subject><subject>Prognosis</subject><subject>Pulmonary Disease, Chronic Obstructive - psychology</subject><subject>Radiation Dosage</subject><subject>Risk factors</subject><subject>Smoking</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Urban health care</subject><subject>Urban Population</subject><issn>0341-2040</issn><issn>1432-1750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kt1rFDEUxYModq3-Ab5IQBBfUnMzyXw8LlM_Cgtb2PocMjM3u1NmkjWZsfS_N8tWbWUlDyG5v3M4XA4hb4FfAOfFp8i55CXjIFglBbDqGVmAzASDQvHnZMEzCUwk5oy8ivGWcyhyUC_Jmch4LmVZLEiz_onhbofD2Lst3cz7vQ8TXY4-vb6Hxjh6Ffq4o_X6-pJem6lHN0VqfaCrOSG1cS0GumkDojs4NPd05e_YpY9I65s0MO41eWHNEPHNw31ONl8-39Tf2Gr99aperlireDkxbKG0layKwmadaqApOzRoq5xXCjIAibJDjkaABFvmRthWlg1KZRrLy-ycfDy67oP_MWOc9NjHFofBOPRz1CCyQiUXKRP6_h_01s_BpWyJynNZKQ7ZX2prBtS9s34Kpj2Y6mWWQqVUqkgUO0Ft0WEwg3do-_T9hL84wafT4di3JwUfHgl2aIZpF_0wT7138SkIR7ANPsaAVu9DP5pwr4HrQ130sS461UUf6qKrpHn3sIm5GbH7o_jdjwSIIxDTyG0xPFrVf11_AeJcxdA</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Pallin, M.</creator><creator>Walsh, S.</creator><creator>O’Driscoll, M. F.</creator><creator>Murray, C.</creator><creator>Cahalane, A.</creator><creator>Brown, L.</creator><creator>Carter, M.</creator><creator>Mitchell, P.</creator><creator>McDonnell, T. J.</creator><creator>Butler, M. W.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan</title><author>Pallin, M. ; Walsh, S. ; O’Driscoll, M. F. ; Murray, C. ; Cahalane, A. ; Brown, L. ; Carter, M. ; Mitchell, P. ; McDonnell, T. J. ; Butler, M. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-ec18f94977f3d5b1b8deaef9609513114e4de0ea2141f86a2fc48be45abf083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Attitude to Health</topic><topic>Attitudes</topic><topic>Care and treatment</topic><topic>Chronic obstructive pulmonary disease</topic><topic>CT imaging</topic><topic>Diagnosis</topic><topic>Early Detection of Cancer - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Ireland</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - diagnosis</topic><topic>Male</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care</topic><topic>Pneumology/Respiratory System</topic><topic>Prognosis</topic><topic>Pulmonary Disease, Chronic Obstructive - psychology</topic><topic>Radiation Dosage</topic><topic>Risk factors</topic><topic>Smoking</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Urban health care</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pallin, M.</creatorcontrib><creatorcontrib>Walsh, S.</creatorcontrib><creatorcontrib>O’Driscoll, M. F.</creatorcontrib><creatorcontrib>Murray, C.</creatorcontrib><creatorcontrib>Cahalane, A.</creatorcontrib><creatorcontrib>Brown, L.</creatorcontrib><creatorcontrib>Carter, M.</creatorcontrib><creatorcontrib>Mitchell, P.</creatorcontrib><creatorcontrib>McDonnell, T. J.</creatorcontrib><creatorcontrib>Butler, M. W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pallin, M.</au><au>Walsh, S.</au><au>O’Driscoll, M. F.</au><au>Murray, C.</au><au>Cahalane, A.</au><au>Brown, L.</au><au>Carter, M.</au><au>Mitchell, P.</au><au>McDonnell, T. J.</au><au>Butler, M. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan</atitle><jtitle>Lung</jtitle><stitle>Lung</stitle><addtitle>Lung</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>190</volume><issue>6</issue><spage>621</spage><epage>628</epage><pages>621-628</pages><issn>0341-2040</issn><eissn>1432-1750</eissn><coden>LUNGD9</coden><abstract>Purpose
The National Lung Screening Trial (NLST) has renewed interest in low-dose computed tomography (LDCT) screening for lung cancer. Smokers may be less receptive toward LDCT screening, however, compared with never smokers. The views of patients with COPD, a particularly high-risk group, toward LDCT screening for lung cancer are currently unknown. We therefore evaluated attitudes of patients with COPD toward LDCT screening for lung cancer.
Methods
Interviews with Irish patients with COPD who satisfied NLST eligibility criteria were conducted in clinical settings using a questionnaire based on that of a comparable study of U.S. current/former smokers of unspecified disease status.
Results
A total of 142 subjects had a mean age of 65.09 ± 6.07 years (46.4 % were male, mean pack years 54.5 ± 33.3, mean FEV1 59.16 ± 23 %); 97.8 % had an identifiable usual source of healthcare. Compared with data from a U.S. cohort of current/former smokers, a higher proportion of Irish COPD smokers: believed that they were at risk for lung cancer (63.6 vs. 15.7 %); believed that early detection improved chances of survival (90 vs. 51.2 %); were willing to consider LDCT screening (97.9 vs. 78.6 %); were willing to pay for a LDCT scan (68.6 vs. 36.2 %); and were willing to accept treatment recommendations arising (95.7 vs. 56.2 %;
p
< 0.0001 for all comparisons).
Conclusions
Urban Irish smokers with COPD who would be eligible for LDCT screening are almost universally in favor of being screened and treated for screening-detected lung cancers. This readily accessible high-risk population should be actively targeted in future screening programs.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23064487</pmid><doi>10.1007/s00408-012-9421-9</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0341-2040 |
| ispartof | Lung, 2012-12, Vol.190 (6), p.621-628 |
| issn | 0341-2040 1432-1750 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Attitude to Health Attitudes Care and treatment Chronic obstructive pulmonary disease CT imaging Diagnosis Early Detection of Cancer - psychology Female Humans Ireland Lung cancer Lung Neoplasms - diagnosis Male Medical screening Medicine Medicine & Public Health Middle Aged Patient Acceptance of Health Care Pneumology/Respiratory System Prognosis Pulmonary Disease, Chronic Obstructive - psychology Radiation Dosage Risk factors Smoking Tomography Tomography, X-Ray Computed Urban health care Urban Population |
| title | Overwhelming Support Among Urban Irish COPD Patients for Lung Cancer Screening by Low-Dose CT Scan |
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