Barriers to Lung Cancer Screening Engagement from the Patient and Provider Perspective

Awareness of the many current challenges faced by patients and referring providers will empower radiologists to continue to collaboratively guide nationwide multidisciplinary efforts to broadly and equitably implement lung cancer screening.

Lung cancer remains the leading cause of cancer mortality in the United States. Lung cancer screening (LCS) with low-dose CT reduces mortality among high-risk current and former smokers and has been covered by public and private insurers without cost sharing since 2015. Patients and referring providers confront numerous barriers to participation in screening. To best serve in multidisciplinary efforts to expand LCS nationwide, radiologists must be knowledgeable of these challenges. A better understanding of the difficulties confronted by other stakeholders will help radiologists continue to collaboratively guide the growth of LCS programs in their communities. This article reviews barriers to participation in LCS for patients and referring providers, as well as possible solutions and interventions currently underway.

© RSNA, 2019


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Article History

Received: Jan 25 2018
Revision requested: Feb 28 2018
Revision received: Aug 2 2018
Accepted: Aug 13 2018
Published online: Jan 8 2019
Published in print: Feb 2019