Association of Shared Decision-Making With Long-Term Adherence to Lung Cancer Screening

IF 8.6 1区医学 Q1 CRITICAL CARE MEDICINE

Chest Pub Date : 2025-07-09 DOI:10.1016/j.chest.2025.06.026

YoonKyung Chung PhD, Chi-Mei Liu PhD, Elizabeth Y. Rula PhD, Farouk Dako MD MPH, Ruth C. Carlos MD, Ryan K. Lee MD MBA, Eric Christensen PhD

引用次数: 0

Abstract

Lung cancer screening (LCS) by low-dose CT imaging reduces lung cancer mortality and is covered by Medicare, yet adherence to screening for eligible Medicare beneficiaries is low. Medicare requires a shared decision-making (SDM) visit before the initial LCS, with a stated goal of promoting adherence to annual screening, but it is unknown whether these visits improve adherence over time.

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共同决策与长期坚持肺癌筛查的关系

通过低剂量CT成像进行肺癌筛查（LCS）可降低肺癌死亡率，并由医疗保险覆盖，但符合条件的医疗保险受益人对筛查的依从性较低。医疗保险要求在初始LCS之前进行共同决策（SDM）访问，其目标是促进年度筛查的依从性，但这些访问是否随着时间的推移提高依从性尚不清楚。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chest 医学-呼吸系统

CiteScore

13.70

自引率

3.10%

发文量

3369

审稿时长

15 days

期刊介绍： At CHEST, our mission is to revolutionize patient care through the collaboration of multidisciplinary clinicians in the fields of pulmonary, critical care, and sleep medicine. We achieve this by publishing cutting-edge clinical research that addresses current challenges and brings forth future advancements. To enhance understanding in a rapidly evolving field, CHEST also features review articles, commentaries, and facilitates discussions on emerging controversies. We place great emphasis on scientific rigor, employing a rigorous peer review process, and ensuring all accepted content is published online within two weeks.