Tackling Guideline Non-concordance: Primary Care Barriers to Incorporating Life Expectancy into Lung Cancer Screening Decision-Making-A Qualitative Study.

ABSTRACT:

Background

Primary care providers (PCPs) are often the first point of contact for discussing lung cancer screening (LCS) with patients. While guidelines recommend against screening people with limited life expectancy (LLE) who are less likely to benefit, these patients are regularly referred for LCS.

Objective

We sought to understand barriers PCPs face to incorporating life expectancy into LCS decision-making for patients who otherwise meet eligibility criteria, and how a hypothetical point-of-care tool could support patient selection.

Design

Qualitative study based on semi-structured telephone interviews.

Participants

Thirty-one PCPs who refer patients for LCS, from six Veterans Health Administration facilities.

Approach

We thematically analyzed intervi

SUBMITTER: Kearney L 

PROVIDER: S-EPMC11347517 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature