Lung Cancer Screening Centralization Is Associated With Improved Screening Uptake: The Veterans Healthcare Administration’s Experience 2015-2021

IF 9.8 1区医学 Q1 CRITICAL CARE MEDICINE

Chest Pub Date : 2026-07-08 DOI:10.1016/j.chest.2026.06.047

Lawrence N. Benjamin MD PhD, Eduardo R. Núñez MD MS, Lillian Chen MPH, Yash Motwani, Anita Yuan PhD MA MPH, Sitaram Vangala MS, Christopher G. Slatore MD MS, Renda Soylemez Wiener MD MPH, David A. Elashoff PhD, Elizabeth M. Yano PhD MSPH, Donna L. Washington MD MPH, Carol M. Mangione MD MSPH

引用次数: 0

Abstract

Lung cancer is the leading cause of cancer mortality, yet lung cancer screening (LCS) remains underutilized. Centralizing LCS into dedicated teams with tracking systems (vs. decentralized, individual provider-led screening) may improve LCS uptake, but effectiveness across diverse settings and populations is uncertain. Centralization also varies: hybrid programs share responsibilities with primary care clinicians, whereas fully-centralized programs manage nearly all screening and patient navigation. Whether one model is more effective in enrolling patients remains unknown.

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肺癌筛查集中化与提高筛查吸收率相关：退伍军人医疗保健管理局2015-2021年的经验

肺癌是癌症死亡的主要原因，但肺癌筛查（LCS）仍未得到充分利用。将LCS集中到有跟踪系统的专门团队中（相对于分散的、由个人提供者主导的筛查）可能会提高LCS的使用率，但在不同环境和人群中的有效性尚不确定。集中化也各不相同：混合项目与初级保健临床医生共同承担责任，而完全集中的项目几乎管理所有的筛查和患者导航。目前尚不清楚是否有一种模式在招募患者方面更有效。

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.