Lung Cancer Screening Knowledge in Four Internal Medicine Programs.
| Autor: | Urrutia Argueta S; Department of Medicine, 12250Indiana University, Indianapolis, IN, USA., Basnet N; Department of Medicine, 3078Michigan State University, Indianapolis, IN, USA., Abdul-Kafi O; Department of Medicine, 14681University of Illinois Chicago, Chicago, IL, USA., Hanna N; Department of Medicine, 12250Indiana University, Indianapolis, IN, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cancer control : journal of the Moffitt Cancer Center [Cancer Control] 2022 Jan-Dec; Vol. 29, pp. 10732748221081383. |
| DOI: | 10.1177/10732748221081383 |
| Abstrakt: | Introduction: Lung cancer remains the leading cause of cancer-related death in the United States. Low density CT (LDCT) has been shown to reduce mortality in high-risk populations. Recognizing and mitigating gaps in knowledge in early medical training could result in increased utilization of screening CT in high risk-populations. Methods: An electronic survey was conducted among Internal Medicine (IM) residents at 4 academic programs in the Midwestern United States. A survey was distributed to evaluate knowledge about high-risk populations, mortality benefits, and a comparison in mortality benefits between LDCT and other screening modalities using number needed to screen (NNS). Results: There was a 46.6% (166/360) response rate. Residents correctly answered an average of 2.9/7 (43.1%) questions. PGY-1 (post-graduate year) and PGY-2 residents performed better than PGY-3 (P = .022). Only 1/3 rd of all respondents correctly identified the population needed to be screened. Over 80% of residents thought screening with LDCT had a cancer-specific mortality benefit but were evenly split (except Program 2 residents), on recognizing an all-cause mortality benefit with LDCT, (P = .016). Only 7.7% thought women benefited the most from LDCT. Self-assess and attained knowledge were similar among programs. Conclusions: LDCT is a noninvasive intervention with a substantial mortality reduction, especially in states with high rates of smoking, and is widely covered by insurers. With average knowledge score less than 50%, this study shows there is a substantial need to increase the knowledge of LCS in IM residency programs. |
| Databáze: | MEDLINE |
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