Attendees of Manchester’s Lung Health Check pilot express a preference for community-based lung cancer screening
Manchester’s ‘Lung Health Check’ pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important fo...
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| Veröffentlicht in: | Thorax 2019-12, Vol.74 (12), p.1176-1178 |
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| creator | Balata, Haval Tonge, Janet Barber, Phil V Colligan, Denis Elton, Peter Evison, Matthew Kirwan, Marie Novasio, Juliette Sharman, Anna Slevin, Kathryn Taylor, Sarah Waplington, Sara Booton, Richard Crosbie, Phil A |
| description | Manchester’s ‘Lung Health Check’ pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95% CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95% CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas. |
| doi_str_mv | 10.1136/thoraxjnl-2018-212601 |
| format | Article |
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We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95% CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95% CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thoraxjnl-2018-212601</identifier><identifier>PMID: 31481631</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Thoracic Society</publisher><subject><![CDATA[Age ; Aged ; Brief communication ; Community Health Services - organization & administration ; Consent ; Decision making ; Delivery of Health Care - organization & administration ; Early Detection of Cancer - methods ; Early Detection of Cancer - statistics & numerical data ; England ; Family medical history ; Female ; Health Services Accessibility - statistics & numerical data ; Hospitals ; Humans ; Lung Cancer ; Lung Neoplasms - diagnostic imaging ; Male ; Mass Screening - organization & administration ; Medical screening ; Middle Aged ; Mobile Health Units - organization & administration ; Mortality ; Multivariate analysis ; Non-Small Cell Lung Cancer ; Participation ; Patient Acceptance of Health Care - statistics & numerical data ; Patient Preference - statistics & numerical data ; Pilot Projects ; Smoking - psychology ; Socioeconomic Factors ; Thorax ; Tomography, X-Ray Computed]]></subject><ispartof>Thorax, 2019-12, Vol.74 (12), p.1176-1178</ispartof><rights>Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b467t-55efdc7ecbf2ccceddbd0709727e41a2d139e4270d54940326d5d233bbbc35e93</citedby><cites>FETCH-LOGICAL-b467t-55efdc7ecbf2ccceddbd0709727e41a2d139e4270d54940326d5d233bbbc35e93</cites><orcidid>0000-0002-8596-9376 ; 0000-0001-8941-4813 ; 0000-0001-9687-9184</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31481631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balata, Haval</creatorcontrib><creatorcontrib>Tonge, Janet</creatorcontrib><creatorcontrib>Barber, Phil V</creatorcontrib><creatorcontrib>Colligan, Denis</creatorcontrib><creatorcontrib>Elton, Peter</creatorcontrib><creatorcontrib>Evison, Matthew</creatorcontrib><creatorcontrib>Kirwan, Marie</creatorcontrib><creatorcontrib>Novasio, Juliette</creatorcontrib><creatorcontrib>Sharman, Anna</creatorcontrib><creatorcontrib>Slevin, Kathryn</creatorcontrib><creatorcontrib>Taylor, Sarah</creatorcontrib><creatorcontrib>Waplington, Sara</creatorcontrib><creatorcontrib>Booton, Richard</creatorcontrib><creatorcontrib>Crosbie, Phil A</creatorcontrib><title>Attendees of Manchester’s Lung Health Check pilot express a preference for community-based lung cancer screening</title><title>Thorax</title><addtitle>Thorax</addtitle><addtitle>Thorax</addtitle><description>Manchester’s ‘Lung Health Check’ pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95% CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95% CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas.</description><subject>Age</subject><subject>Aged</subject><subject>Brief communication</subject><subject>Community Health Services - organization & administration</subject><subject>Consent</subject><subject>Decision making</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Early Detection of Cancer - methods</subject><subject>Early Detection of Cancer - statistics & numerical data</subject><subject>England</subject><subject>Family medical history</subject><subject>Female</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Lung Cancer</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Male</subject><subject>Mass Screening - organization & administration</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Mobile Health Units - 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Academic</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balata, Haval</au><au>Tonge, Janet</au><au>Barber, Phil V</au><au>Colligan, Denis</au><au>Elton, Peter</au><au>Evison, Matthew</au><au>Kirwan, Marie</au><au>Novasio, Juliette</au><au>Sharman, Anna</au><au>Slevin, Kathryn</au><au>Taylor, Sarah</au><au>Waplington, Sara</au><au>Booton, Richard</au><au>Crosbie, Phil A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attendees of Manchester’s Lung Health Check pilot express a preference for community-based lung cancer screening</atitle><jtitle>Thorax</jtitle><stitle>Thorax</stitle><addtitle>Thorax</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>74</volume><issue>12</issue><spage>1176</spage><epage>1178</epage><pages>1176-1178</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><abstract>Manchester’s ‘Lung Health Check’ pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95% CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95% CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Thoracic Society</pub><pmid>31481631</pmid><doi>10.1136/thoraxjnl-2018-212601</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-8596-9376</orcidid><orcidid>https://orcid.org/0000-0001-8941-4813</orcidid><orcidid>https://orcid.org/0000-0001-9687-9184</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Aged Brief communication Community Health Services - organization & administration Consent Decision making Delivery of Health Care - organization & administration Early Detection of Cancer - methods Early Detection of Cancer - statistics & numerical data England Family medical history Female Health Services Accessibility - statistics & numerical data Hospitals Humans Lung Cancer Lung Neoplasms - diagnostic imaging Male Mass Screening - organization & administration Medical screening Middle Aged Mobile Health Units - organization & administration Mortality Multivariate analysis Non-Small Cell Lung Cancer Participation Patient Acceptance of Health Care - statistics & numerical data Patient Preference - statistics & numerical data Pilot Projects Smoking - psychology Socioeconomic Factors Thorax Tomography, X-Ray Computed |
| title | Attendees of Manchester’s Lung Health Check pilot express a preference for community-based lung cancer screening |
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