Determining the perception of a lung cancer screening programme among high-risk patients in a tertiary referral centre, Kuala Lumpur

Kok, Wei Hao; A, Bán; Shah, Shamsul Azhar; Hamid, Mohamed Faisal Abdul

doi:10.1177/2010105819891743

Cited by 3 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bui et al [2018] also established an association between a higher perceived susceptibility and a higher uptake intention (39). Having a history of chronic lung disease, which could be considered as leading to a higher perceived risk for LC, showed a significant association towards willingness to undergo screening with chest LDCT (34). People who experienced occupational exposure to dust also showed more willingness to undergo screening with chest LDCT (34).…”

Section: Higher Perceived Riskmentioning

confidence: 84%

“…Cataldo [2016] also quantified this: Believe that early detection of LC will result in a good prognosis strongly influenced participation (OR 2.7) (45). Furthermore, Kok et al [2020] came to that conclusion as well: 30% of respondents believed that early detection of cancer was life-saving; 1/3 believed that early detection of cancer leads to a higher chance of survival; 1/5 believed that early detection of LC would lead to a better chance of surviving (34).…”

Section: Early-detection Benefitsmentioning

confidence: 86%

“…Having a history of chronic lung disease, which could be considered as leading to a higher perceived risk for LC, showed a significant association towards willingness to undergo screening with chest LDCT (34). People who experienced occupational exposure to dust also showed more willingness to undergo screening with chest LDCT (34). Only Ali et al [2015] found that a higher affective risk perception led to a lower OR for uptake in LCS (0.52) (23).…”

Section: Higher Perceived Riskmentioning

confidence: 97%

“…This can lead to a lack of awareness about the new screening method for LC, and a lack of knowledge of the eligibility to LCS. In a study with 180 face-to-face interviews among high-risk patients in Malaysia, Kok et al [2020] found that 76.7% of the respondents had poor knowledge about cancer screening (34). There are also several misconceptions regarding LDCT, for instance that it should only be needed when there are symptoms or when no chest X-ray has been performed as Draucker et al [2019] found in their qualitative study with telephone interviews (35).…”

Section: Recruitment: Extra Barriers Specific For (Ex-)smokers?mentioning

confidence: 99%

“…Regarding the financial cost barrier, also it was established that the high costs of health care in the US can impact the willingness to be screened especially in immigrant communities (25). The importance of the financial cost as a potential barrier to LCS was also demonstrated by Kok et al [2020] where they found that 48.2% of those willing to participate in LCS would be unwilling to participate if they had to pay for the procedure (34).…”

Section: Recruitment: General Barriersmentioning

confidence: 99%

See 4 more Smart Citations

Lung cancer screening: targeting the hard to reach—a review

Hal¹,

Garcia²

2021

Transl Lung Cancer Res

View full text Add to dashboard Cite

Lung cancer (LC) is the leading cause of cancer death in the USA for both men and women (1). Also worldwide, LC is the commonest cause of cancer death (2). Of all LC cases, smoking is implicated in more than 90% and prognosis is poor, with mortality close to 85% (3).However, the earlier the stage at which LC is detected, the better the prognosis. In November 2011, the first large multicenter randomized control trial-the National Lung Screening Trial (NLST) in the USA-released their results that showed that screening with chest low-dose computed tomography (LDCT) could reduce LC mortality by 20% (4,5). In the meantime, the NELSON trial in The Netherlands and Belgium also released its results (6). They found that screening with chest LDCT can reduce cause-Review Article on Lung Cancer Screening

show abstract

Section: Higher Perceived Riskmentioning

confidence: 84%

Section: Early-detection Benefitsmentioning

confidence: 86%

Section: Higher Perceived Riskmentioning

confidence: 97%

Section: Recruitment: Extra Barriers Specific For (Ex-)smokers?mentioning

confidence: 99%

Section: Recruitment: General Barriersmentioning

confidence: 99%

See 3 more Smart Citations

Lung cancer screening: targeting the hard to reach—a review

Hal¹,

Garcia²

2021

Transl Lung Cancer Res

View full text Add to dashboard Cite

show abstract

Willingness to participate in combination screening for lung cancer, chronic obstructive pulmonary disease and cardiovascular disease in four European countries

Behr,

Koffijberg,

IJzerman

et al. 2023

Eur Radiol

View full text Add to dashboard Cite

Objectives Lung cancer screening (LCS), using low-dose computed tomography (LDCT), can be more efficient by simultaneously screening for chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD), the Big-3 diseases. This study aimed to determine the willingness to participate in (combinations of) Big-3 screening in four European countries and the relative importance of amendable participation barriers. Methods An online cross-sectional survey aimed at (former) smokers aged 50–75 years elicited the willingness of individuals to participate in Big-3 screening and used analytical hierarchy processing (AHP) to determine the importance of participation barriers. Results Respondents were from France (n = 391), Germany (n = 338), Italy (n = 399), and the Netherlands (n = 342), and consisted of 51.2% men. The willingness to participate in screening was marginally influenced by the diseases screened for (maximum difference of 3.1%, for Big-3 screening (73.4%) vs. lung cancer and COPD screening (70.3%)) and by country (maximum difference of 3.7%, between France (68.5%) and the Netherlands (72.3%)). The largest effect on willingness to participate was personal perceived risk of lung cancer. The most important barriers were the missed cases during screening (weight 0.19) and frequency of screening (weight 0.14), while diseases screened for (weight 0.11) ranked low. Conclusions The difference in willingness to participate in LCS showed marginal increase with inclusion of more diseases and limited variation between countries. A marginal increase in participation might result in a marginal additional benefit of Big-3 screening. The amendable participation barriers are similar to previous studies, and the new criterion, diseases screened for, is relatively unimportant. Clinical relevance statement Adding diseases to combination screening modestly improves participation, driven by personal perceived risk. These findings guide program design and campaigns for lung cancer and Big-3 screening. Benefits of Big-3 screening lie in long-term health and economic impact, not participation increase. Key Points • It is unknown whether or how combination screening might affect participation. • The addition of chronic obstructive pulmonary disease and cardiovascular disease to lung cancer screening resulted in a marginal increase in willingness to participate. • The primary determinant influencing individuals' engagement in such programs is their personal perceived risk of the disease.

show abstract

Determinants of Willingness to Undergo Lung Cancer Screening among High-Risk Current and Ex-smokers in Sabah, Malaysia: A Cross-Sectional Pilot Study

Nyanti,

Chua,

Loo

et al. 2023

Tuberc Respir Dis

View full text Add to dashboard Cite

Background: Attitudes towards smoking, lung cancer screening, and perceived risk of lung cancer have not been widely studied in Malaysia. The primary objective of this study was to describe the factors affecting the willingness of high-risk current smokers and ex-smokers to undergo low-dose computed tomography (LDCT) screening for lung cancer.Methods: A prospective, cross-sectional questionnaire study was conducted in current smokers or ex-smokers aged between 55 and 80 years at three hospitals in Kota Kinabalu, Sabah, Malaysia. The questionnaire recorded the following parameters: perceived lung cancer risk; Prostate Lung Colon Ovarian Cancer 2012 risk prediction model excluding race and ethnicity predictor (PLCOm2012norace); demographic characteristics; psychosocial characteristics; and attitudes towards lung cancer and lung cancer screening.Results: A vast majority of the 95 respondents (94.7%) indicated their willingness to undergo screening. Stigma of lung cancer, low levels of knowledge about lung cancer symptoms, concerns about financial constraints, and a preference for traditional medication were still prevalent among the respondents, and they may represent potential barriers to lung cancer screening uptake. A desire to have an early diagnosis (odds ratio [OR], 11.33; 95% confidence interval [CI], 1.53 to 84.05; p=0.02), perceived time constraints (OR, 3.94; 95% CI, 1.32 to 11.73; p=0.01), and proximity of LDCT screening facilities (OR, 14.33; 95% CI, 1.84 to 111.4; p=0.01) had significantly higher odds of willingness to undergo screening.Conclusion: Although high-risk current smokers and ex-smokers are likely to undergo screening for lung cancer, several psychosocial barriers persist. The results of this study may guide the policymakers and clinicians regarding the need to improve lung cancer awareness in our population.

show abstract

Determining the perception of a lung cancer screening programme among high-risk patients in a tertiary referral centre, Kuala Lumpur

Cited by 3 publications

References 20 publications

Lung cancer screening: targeting the hard to reach—a review

Lung cancer screening: targeting the hard to reach—a review

Willingness to participate in combination screening for lung cancer, chronic obstructive pulmonary disease and cardiovascular disease in four European countries

Determinants of Willingness to Undergo Lung Cancer Screening among High-Risk Current and Ex-smokers in Sabah, Malaysia: A Cross-Sectional Pilot Study

Contact Info

Product

Resources

About