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. Author manuscript; available in PMC: 2022 Jun 20.
Published in final edited form as: J Thorac Oncol. 2014 Jul;9(7):927–934. doi: 10.1097/JTO.0000000000000210

Table 3.

Association of LDCT Screening Result with Patient-Centered Outcomes.

Study cohort selection Population Abnormal vs. Negative LDCT Instrument Interval (Overall Response Rate) Abnormal LDCT Negative LDCT Statistics
NELSON19, n=733 Convenience sample from baseline cohort of screen indeterminate vs. negative CT groups • Men: 50% vs. 46%
• Age (mean): 58 vs. 58
• Before LDCT (91%)
• 1 week pre-LDCT (94%)
• 1 day post- LDCT (93%)
• 2 month (88%)
IES score (mean): • 4.5†
• 6.3
• 4.9
• 8.3†*
IES score (mean): • 4.1
• 5.8
• 4.5
• 2.4†*
• †p<0.05 for increase and decrease
*p<0.01 for difference
• No differences in SF-12, EQ-5D, or STAI-6
Repeated measures ANOVA - unadjusted
NELSON20, n=733 Convenience sample from baseline cohort of screen indeterminate vs. negative CT groups • Men: NR
• Age: NR
• Before LDCT (NR)
• 2 month (NR)
• 2 years (NR)
IES score (mean): • 4.0
• 7.8
• 4.5
IES score (mean): • 4.1
• 2.6
• 3.5
• Interaction time × result (p<0.01)
• Significant difference at 2 months
• No difference at 2 years
• No differences in SF-12, EQ-5D, or STAI-6
Repeated measures ANOVA - adjusted
PLuSS 21, n=400 Convenience sample from baseline cohort categorized into indeterminate, suspicious vs. negative CT groups Indeterminate vs. Suspicious vs. Negative
• Men: 41% vs. 58% vs. 56%
• Age (mean): 60 vs. 61 vs. 60
• Overall Response Rate: 85%β
• Before LDCT
• 1–2 week
• 6 month
• 12 month
• Baseline
• 1–2 week
• 6 month
• 12 month
• Baseline
• 1–2 week
• 6 month
• 12 month
Indeterminate: STAI-6 score (mean)#:
• 34.4
• 37.7
• 37.3
• 35.3
Suspicious: PCQ score (mean)#:
• 6.4
• 8.5
• 7.4
• 7.1
Suspicious: Perceived % risk of cancer (mean)#:
• 18.6
• 34.5
• 30.3
• 31.2
Negative: STAI-6 score (mean)
• 35.9
• 35.9
• 34.4
• 35.1
PCQ score (mean)
• 7.0
• 7.0
• 6.5
• 6.7
Perceived % risk of cancer (mean):
• 17.1
• 11.2
• 13.1
• 13.1
Among negative group only perceived % risk of cancer changed over time (p NR)
• #p<0.001 Increase from baseline, then decrease in scores over time
• Anxiety (STAI-6): higher in current smokers (p<0.03)
• Fear of cancer (PCQ): higher in women (p<0.03) and current smokers (p<0.001)
• Perceived % risk of cancer: higher in current smokers (p<0.001)
Multivariable adjusted
*

Cancer thoughts categorized as “not at all” or “some”

β

-Per authors: There were no significant differences between those not missing a survey and those missing a survey.

Abbreviations: ANOVA = analysis of variance, CT = computed tomography, EQ-5D = EuroQol questionnaire, IES = Impact of Event Scale, Mayo = Mayo Clinic Lung Cancer Genetic Epidemiology Registry, NELSON= NEderlands Leuvens Longkanker Screenings Onderzoek, NR = not reported, PCQ = Psychological Consequences Questionnaire, PLuSS = Pittsburgh Lung Screening Study, SF-12 = 12-item Short Form, STAI-6 = Spielberger State-Trait Anxiety Inventory.