Implementing Lung Cancer Screening and Prevention in Academic Centers, Affiliated Network Offices and Collaborating Care Sites

Journal of Clinical Medicine

Shanmugga Subbiah¹  BrianL. Tiep¹  Jossie Sandoval¹  CaryA. Presant¹  Kimlin Ashing¹  Shana Landau¹  Ravi Salgia¹  Dan Raz¹  Sophia Yeung¹  Shamel Sanani¹  MinaS. Sedrak¹  Benjamin Leach¹  Prakash Kulkarni¹ 

[1] City of Hope Medical Center, Duarte, CA 91010, USA;

关键词: cancer center;    lung cancer;    lung cancer screening;    low-dose CT scans;    cancer prevention;    smoking cessation;   

DOI  :  10.3390/jcm9061820

来源: DOAJ

【 摘 要 】

Lung cancer is one of the deadliest and yet largely preventable neoplasms. Smoking cessation and lung cancer screening are effective yet underutilized lung cancer interventions. City of Hope Medical Center, a National Cancer Institute (NCI)- designated comprehensive cancer center, has 27 community cancer centers and has prioritized tobacco control and lung cancer screening throughout its network. Despite challenges, we are implementing and monitoring the City of Hope Tobacco Control Initiative including 1) a Planning and Implementation Committee; 2) integration of IT, e.g., medical records and clinician notification/prompts to facilitate screening, cessation referral, and digital health, e.g., telehealth and social media; 3) clinician training and endorsing national guidelines; 4) providing clinical champions at all sites for site leadership; 5) Coverage and Payment reform and aids to facilitate patient access and reduce cost barriers; 6) increasing tobacco exposure screening for all patients; 7) smoking cessation intervention and evaluation—patient-centered recommendations for smoking cessation for all current and recent quitters along with including QuitLine referral for current smokers and smoking care-givers; and 8) establishing a Tobacco Registry for advancing science and discoveries including team science for basic, translation and clinical studies. These strategies are intended to inform screening, prevention and treatment research and patient-centered care.

【 授权许可】

Unknown