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Potential disparities by gender and race-ethnicity in lung cancer screening eligibility rates

Chest Feb 05, 2021

Pinsky PF, Lau YK, Doubeni CA., et al. - By sex and race/ethnicity, researchers ascertained the eligibility rates for low-dose CT screening for lung cancer and evaluated how these rates correspond to lung cancer incidence rates. Data from the 2015 National Health Interview Survey adult and cancer control supplement files were used to perform a cross-sectional study. This study’s findings demonstrated that screening eligibility rates vary widely across guidelines with disparities evident in eligibility-to-incidence ratios, including among non-Hispanic Black men, even though they have a higher lung cancer burden. Overall eligibility rates were on average about 10 percentage points higher for men than women. Non-Hispanic Whites had the highest eligibility rates across all guidelines, for both men and women and both overall and among ever-smokers, followed generally by non-Hispanic Blacks, and then Asians and Hispanics. Non-Hispanic Whites had the highest E-I ratios across all guidelines, Among both men and women; non-Hispanic Black men had 30-50% lower E-I ratios than non-Hispanic White men, but higher lung cancer incidence. In risk assessment criteria, consideration of smoking duration may address current disparities.

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