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Identifying Primary Care Patients at High Risk for Lung Cancer: A Quality Improvement Study

Clin J Oncol Nurs. 2025 Jan 17;29(1):72-78. doi: 10.1188/25.CJON.72-78.

ABSTRACT

BACKGROUND: Despite guidelines from the U.S. Preventive Services Task Force, millions of Americans at high risk for lung cancer go unscreened every year.

OBJECTIVES: The purpose of this quality improvement project was to identify individuals at high risk for the development of lung cancer using a lung cancer screening tool. All patients who were identified as at risk received an order for screening via a low-dose computed tomography (LDCT) scan.

METHODS: A quality improvement team educated providers at a primary care clinic about administering a lung cancer screening tool to all patients at their annual physical examination. For eligible patients, providers could order an LDCT scan to detect early lung cancer. Pre- and postintervention data were collected to determine whether there was a statistically significant increase in the number of LDCT scans ordered for eligible patients.

FINDINGS: There was no statistically significant increase in the number of LDCT scans ordered from pre- to postintervention. The use of a lung cancer screening tool more comprehensively addressed patients’ smoking status, which can increase the identification of at-risk patients.

PMID:39933084 | DOI:10.1188/25.CJON.72-78

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