Understanding Stakeholder Perspectives in Developing User-Centered Design Interventions to Improve Lung Cancer Screening Adherence at Kaiser Permanente Washington

Patient Adherence to Lung CT Screening Reporting & Data System–Recommended Screening Intervals in the United States: A Systematic Review and Meta-Analysis

“…Among the 557 references that underwent title and abstract screen, 510 studies were irrelevant to LCS adherence. Of the 47 studies that underwent full-text review, 24 studies 3,4,[12][13][14][15][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] were included in qualitative synthesis, whereas 21 3,4,[12][13][14][15]26,27,[29][30][31][32][33][34][35][36][37][38][39][40]42 studies were eligible for quantitative synthesis (meta-analysis) (Fig. 1).…”

“…We excluded one study 25 from the meta-analyses because it excluded nonadherent patients who did not come back after the baseline examination. In three studies, [26][27][28] we assumed that exposure (LCS examination and Lung-RADS information) and outcomes (adherence statuses) data were obtained from patient medical records, although this was not stated explicitly. In two studies, 12,29 patients with a pending follow-up examination were excluded from the adherence rate calculation because their adherence statuses were yet to be determined.…”

“…The characteristics of the 24 included studies 3,4,[12][13][14][15][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] are summarized in Table 1. Among the 24 studies, the distribution of institutional settings was 17 academic, [12][13][14]25,27,[30][31][32][33][34][35][36][37][38][40][41][42] four community, 3,4,26,29 two Kaiser Permanente, 28,39 and one Veterans Affairs, 15 with most being ---2021…”

“…Adherence to Lung-RADS Recommendations' retrospective studies. 3,4,[12][13][14][15][25][26][27][28][29][30][32][33][34][36][37][38][39][40][41][42] The study period varied for each individual study. Eligibility criteria for LCS mentioned in the studies included guidelines from the American Association for Thoracic Surgery, 12 American Cancer Society, 12 Centers for Medicare and Medicaid Services, 29,31,34 National Comprehensive Cancer Network, 12,14,30,31,33,37 National Cancer Institute, 12 NLST, 4,35,38 and the United States Preventive Services Task Force.…”

“…Given that adherence rates were not evaluated for all Lung-RADS categories among all studies, we extracted adherence rates and relevant information in specific Lung-RADS categories for the 24 studies. 3,4,[12][13][14][15][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] There were 10 studies 4,[13][14][15]30,31,34,36,40,42 that reported interventions for adherence, such as reminder letters and phone calls. In addition, there were 14 studies 4,12,15,25,27,[30][31][32][33][34]36,39,41,42 that reported Lung-RADS distributions.…”