Table 2.
Provider Recommendations for Lung Cancer Screening in 5 Different Clinical Scenarios
| N | % | ||
|---|---|---|---|
| Which of the following lung cancer screening tests would you recommend for asymptomatic patients? | |||
| 1. |
Healthy 60-year-old female
Former smoker (1 pack a day for 15 years) Quit 10 years ago [low dose CT indicated per UPSTF guideline] |
||
| No Screening | 36 | 43.90 | |
| Chest x-ray | 24 | 29.27 | |
| Sputum cytology | 0 | 0.00 | |
| Both chest x-ray & sputum cytology | 2 | 2.44 | |
| Low dose CT | 17 | 20.73 | |
| Other, please fill in | |||
| Both chest x-ray and sputum cytology and low dose CT | 1 | 1.22 | |
| Chest x-ray and low dose CT | 1 | 1.22 | |
| Chest x-ray followed by sputum cytology then low dose CT | 1 | 1.22 | |
| Don’t know/unsure | 0 | 0.00 | |
| Missing | 1 | ~ | |
| 2. |
Healthy 60-year-old male Never smoked
Occupational radon exposure: 20 years 25 years’ exposure to second hand smoke from spouse [no screening indicated per UPSTF guideline] |
||
| No Screening | 25 | 30.87 | |
| Chest x-ray | 21 | 25.94 | |
| Sputum cytology | 0 | 0.00 | |
| Both chest x-ray & sputum cytology | 4 | 4.94 | |
| Low dose CT | 25 | 30.87 | |
| Other, please fill in | |||
| Both no screening and sputum cytology | 1 | 1.23 | |
| Both chest x-ray and sputum cytology and low dose CT | 1 | 1.23 | |
| Chest x-ray and low dose CT | 1 | 1.23 | |
| Chest x-ray followed by sputum cytology then low dose CT | 1 | 1.23 | |
| Refer to pulmonologist | 1 | 1.23 | |
| Don’t know/unsure | 1 | 1.23 | |
| Missing | 2 | ~ | |
| 3. |
Healthy 60-year-old female
Current smoker (1 pack a day since age 15) [no screening indicated per UPSTF guideline] |
||
| No screening | 8 | 9.76 | |
| Chest x-ray | 12 | 14.63 | |
| Sputum cytology | 0 | 0.00 | |
| Both chest x-ray & sputum cytology | 4 | 4.88 | |
| Low dose CT | 55 | 67.07 | |
| Other, please fill in | |||
| Both chest x-ray and sputum cytology and low dose CT | 1 | 1.22 | |
| Chest x-ray and low dose CT | 1 | 1.22 | |
| Chest x-ray followed by sputum cytology then low dose CT | 1 | 1.22 | |
| Don’t know/unsure | 0 | 0.00 | |
| Missing | 1 | ~ | |
| 4. |
Healthy 50-year-old male
Current smoker (half a pack a day for 20 years) [no screening indicated per UPSTF guideline] |
||
| No Screening | 29 | 35.37 | |
| Chest x-ray | 16 | 19.51 | |
| Sputum cytology | 0 | 0.00 | |
| Both chest x-ray and sputum cytology | 4 | 4.88 | |
| Low dose CT | 29 | 35.37 | |
| Other, please fill in | |||
| Both chest x-ray and sputum cytology and low dose CT | 1 | 1.22 | |
| Chest x-ray and low dose CT | 1 | 1.22 | |
| Chest x-ray and sputum cytology then low dose CT | 1 | 1.22 | |
| Don’t know/unsure | 1 | 1.22 | |
| Missing | 1 | ~ | |
| 5. |
Healthy 55-year-old male
Former smoker (2 pack a day for 20 years) Quit 17 years ago [no screening indicated per UPSTF guideline] |
||
| No Screening | 38 | 46.34 | |
| Chest x-ray | 17 | 20.73 | |
| Sputum cytology | 0 | 0.00 | |
| Both chest x-ray & sputum cytology | 3 | 3.66 | |
| Low dose CT | 21 | 25.61 | |
| Other, please fill in | |||
| Both chest x-ray and sputum cytology and low dose CT | 1 | 1.22 | |
| Chest x-ray and low dose CT | 1 | 1.22 | |
| Chest x-ray and sputum cytology then low dose CT | 1 | 1.22 | |
| Don’t know/unsure | 0 | 0.00 | |
| Missing | 1 | ~ | |