Table 3.

Patient Perspectives on Information Clinicians Provided About LCS

CMS informational element depicted in quote*	Patient quote describing LCS trade-offs explained by clinicians
Benefit: early detection/reduces lung cancer death	“They were looking for the possibility of lung cancer [because]…the sooner they find it, the better the chances are to cure it”—Veteran, site C
Harm: false positives/nodules	“Deadly black spots. ….She actually had warned me when she made the appointment that they may see the beginnings of things.”—Safety net hospital patient, site D
Harm: distress from nodule	“She told me…some people have said that…if they found out they had something wrong with them, it bothered them afterwards.”—Veteran, site C
Process of LCS	“They said, ‘We’ll run a CT scan on you, and if we see anything there, we’ll do something about it, and if not, a year from now we’ll run another one’”—Veteran, site A

*CMS also requires discussion of potential harms of overall radiation exposure and overdiagnosis of indolent tumors, but no patient discussed receiving this information