Patient Identification, Prescreening and LDCT Screening for Lung Cancer With Telehealth
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 10,000
- 试验地点
- 1
- 主要终点
- Early stage diagnosis
研究概览
简要总结
The role of this observational study is to access the feasibility of providing lung cancer screening using a designated nurse navigator through lung cancer screening clinic. Eligible participants will be identified using medical records, eligibility will be confirmed through phone call, screening visits will be scheduled as in-person visit or telehealth visit. Computed tomography screening will be performed at an approved center closer to the individuals place of living and results will be discussed during follow-up in-person visit or telehealth visit.
详细描述
The long-term goal is to establish healthcare practices to increase adherence to lung cancer screening among high-risk individuals. The overall objective in this application is to establish a lung cancer screening initiative to proactively identify and screen eligible patients for LDCT using a designated nurse practitioner (NP) along with telehealth. The central hypothesis is that use of a designated NP along with telehealth will increase lung cancer screening via LDCT among high-risk, racial/ethnic minority, and rural/sub-urban patients. The rationale for this proposal is use of a NP and telehealth will help overcome the barriers physicians face in identifying eligible patients for LDCT including collecting additional information to determine eligibility, discussing the pros and cons of LDCT, providing smoking cessation/abstinence counseling, making shared decisions, and documenting this information in the patients' charts.
In this prospective cohort study the nurse practitioner (NP) will proactively identify eligible individuals for LDCT using EMRs that are shared across the Department of Family and Community Medicine at SIU. These patients will be contacted and those agreeing to undergo screening will be given a referral to a nearby LDCT center. The NP will follow-up with the patients with the results of the LDCT and will refer them for further management to their primary care physician. If the results are negative for nodules then they will be followed up on a yearly basis until the participants are older than 80 years or have other life-threatening health issues.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All individuals 50-80 years of age
- •20 pack-year smoking history
- •Currently smoke or have quit within the past 15 years:
排除标准
- •Individuals 49 years and below or 81 years and above
- •Has not smoked in 15 or more years
- •Individuals who develop a health problem that makes them unwilling or unable to have surgery if lung cancer is detected.
研究组 & 干预措施
Telehealth cohort
Individuals who opt to do the screening using telehealth. Telehealth using video assisted techniques or using telephone.
In-person cohort
Individuals who are willing to travel to the hospital for in-person screening and follow-up
结局指标
主要结局
Early stage diagnosis
时间窗: Through study completion, an average of 1 year
Percentage of individuals diagnosed with lung cancer at an early stage of the disease
Screening rate
时间窗: Through study completion, an average of 1 year
Percentage of individuals screened (completed CT imaging) with and without telehealth
次要结局
- Time to treatment initiation(Through study completion, an average of 1 year)
- Cost(Through study completion, an average of 1 year)
- Adherence to Screening(Through study completion, an average of 1 year)