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Full Explanation Reduces Seniors’ Worries about Lung Cancer Screening
Date:7/25/2014

C8xMC4xMDU2L05FSk1vYTExMDI4NzM=" onclick="linkClick(this.href)" rel="nofollow">published in the New England Journal of Medicine (2011), that low-dose computerized tomography (CT) is associated with a 20 percent reduction in lung cancer mortality compared to chest x-ray (CXR).

However, a major barrier to the adoption of low-dose CT screening is the concern that the high rate of false positive findings may cause undue worry, dread and fear among people. “False positive” is a term used by physicians to describe a screening test in which findings initially indicating concern for cancer are later found not to be cancer.

“These results are very gratifying, given that one of the concerns with CT screening is patient anxiety. It also reinforces that fact that communication between the health care provider and patient is critical for both informed decision-making and understanding the implications of test results,” said NLST lead investigator Denise R. Aberle, MD, professor of radiology and bioengineering vice chair, research, at the University of California, Los Angeles, as well as deputy chair of ECOG-ACRIN’s Imaging Sciences.

Gareen and co-authors mailed questionnaires to a subset of NLST participants at 16 facilities that perform lung screening. Psychological effects of screening were assessed at the Brown University’s Center for Statistical Sciences through the use of two measurement tools, one evaluating anxiety and the other assessing health related quality of life, sent in the mail one month after screening and again at six months.

About the NLST Consent Form
Currently, there is no standard consent form used in lung cancer screening. Facilities that perform lung screening may explain the procedure to patients using whatever
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