Video Plus Brochure Helps Patients Make Lung Cancer Scan Decision

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Video Plus Brochure Helps Patients Make Lung Cancer Scan Decision

A short video describing the potential benefits and risks of low-dose CT screening for lung cancer in addition to an informational brochure increased patients’ knowledge and reduced conflicted feelings about whether to undergo the scan more than the informational brochure alone, according to a randomized, controlled trial published online in the Annals of the American Thoracic Society.

A short video describing the potential benefits and risks of low-dose CT screening for lung cancer in addition to an informational brochure increased patients’ knowledge and reduced conflicted feelings about whether to undergo the scan more than the informational brochure alone, according to a randomized, controlled trial published online in the Annals of the American Thoracic Society.

In “Impact of a Lung Cancer Screening Information Film on Informed Decision-Making: A Randomized Trial,” Sam M. Janes, MBBS, PhD, and co-authors report on a study of 229 participants at a London hospital who met any of three criteria used to select patients who may benefit from the screening. One criterion was the U.S. Preventative Services Task Force recommendation of a 30 or more pack-year smoking history in patients who quit less than 15 years ago.

The authors note that studies show that fewer than 2 percent of the 7.6 million former smokers in the U.S. who are eligible for the screening actually undergo the CT scan, despite the fact that it has been shown to reduce lung cancer mortality by 20 percent.

The most significant potential harms from screening come from detecting nodules, or small masses of tissue, that are usually benign but cause anxiety and may require additional scans or biopsies to determine if they are cancerous or not.

Dr. Janes, senior author and head of the Respiratory Research Department at University College London and director of London’s Lung Cancer Board, said the goal of the video was to produce a tool that would help facilitate a conversation between patients and their physicians and lead to shared decision-making–a requirement for Medicare and Medicaid reimbursement in the U.S.

“We used feedback from other patients eligible for lung cancer screening to create a film that individuals from a variety of educational backgrounds could understand and that presented the information in a clear, simple and palatable manner,” he added.

Read on: Video Plus Brochure Helps Patients Make Lung Cancer Scan Decision

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