maine lung cancer coalition lung cancer screening in maine: … · 2019-11-14 · cme • cme...
TRANSCRIPT
Maine Lung Cancer Coalition
Lung Cancer Screening in Maine: Results
of a Survey of Primary Care Clinicians
Wednesday, November 13, 2019 – Noon to 1pm
Speaker: Dr. Neil Korsen
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CME • CME disclosure: The speaker today does not have any relevant financial
relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity.
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Learning Objectives:
• Explain the difference between the AAFP guideline on lung cancer
screening and other major organizations’ guidelines
• Describe the survey findings regarding guidelines endorsed and
current knowledge and practices
• Describe two of the biggest barriers the Maine primary care providers
identified in the lung cancer screening process for their patients
• List two ideas that might help primary care clinicians who want to offer
lung cancer screening to their patients who are eligible
Speaker: Dr Neil Korsen
Neil Korsen, MD, MS is the co-lead of the Maine Lung
Cancer Coalition. He is a physician scientist at the Center
for Outcomes Research and Evaluation at Maine Medical
Center. His research experience includes work on
depression in primary care, behavioral health integration,
shared decision making, and practice redesign.
Dr. Korsen spent almost 20 years as a family physician
and geriatrician in rural Maine. He returned to school and
graduated from the Master’s program at the Center for the
Evaluative Clinical Sciences at Dartmouth (now The
Dartmouth Institute) in 2002.
Lung Cancer Screening
Knowledge, Attitudes, and Practice
Preliminary results of a primary care provider survey
conducted by the Maine Lung Cancer Coalition
Funding
Partners
American Lung Association
American Cancer Society
Central Maine Medical Center
Chest Medicine Associates
Northern Light Eastern Maine Medical Center
Free ME from Lung Cancer
HealthReach Community Health Centers
Lung Cancer Alliance
Maine’s Impact Cancer Network
Maine Center for Disease Control & Prevention
Maine Medical Center
Maine Public Health Association
Maine Quality Counts
MaineGeneral Prevention Center
MaineHealth
MaineHealth Center for Tobacco Independence
Rinck Advertising
Southern Maine Medical Center
St. Mary’s Regional Medical Center
University of Southern Maine
Areas of focus
PreventionEarly
Detection
Stakeholder Engagement &
Education
• Objective: assess primary care clinician
knowledge, attitudes, and practices regarding
lung cancer screening using low-dose CT
• State-wide
• Distributed to 1283 clinicians belonging to:
• Maine Academy of Family Physicians
• Maine chapter, American College of
Physicians
• Maine Primary Care Association
• Maine Family Medicine Residency programs
The Survey
The sample
122 clinicians completed the survey:
• Family Medicine: 82
• Internal Medicine: 30
• NP/PA: 8
• Unknown specialty: 2
10% overall response rate
Participant
characteristics
N = 12259%
Female46 years
Mean age
14 yearsMean practice time
as a PCP
63%Work in mostly
outpatient setting
78%Mean percent of time allocated to
direct patient care
52Mean number of
patients seen weekly
Number of survey participants
by county
Respondents could endorse multiple counties
Attitudes • Benefits versus harms
• Perceived barriers to LDCT
• Confidence in skills
Attitudes about LDCT Screening
Attitudes about benefits and harms
Perceived barriers to LDCT uptake
Confidence in skills related to LDCT, by specialty
Current practice in lung cancer
screening
• Guideline adherence
• Scans ordered
• Shared Decision Making (SDM)
Which guidelines, if
any, do you follow for
lung cancer screening?
Respondents can endorse multiple
organizations’ guidelines
USPSTF: US Preventive Services Task Force
AAFP: American Academy of Family Physicians
ATS: American Thoracic Society
ACR: American College of Radiology
ACS: American Cancer Society
Other: 2 of 4 specify American College of Chest
Physicians
NCCN: National Comprehensive Cancer Network
Approximately how many patients did you refer for
LDCT screening in the last 3 months?
Current LDCT practices
Ideal model for LDCT screening
practice:
• How should LDCT screening services be
delivered to patients?
Who do you think should be responsible for the following services?
Conclusions • Maine PCPs report confidence in skills
related to lung cancer screening
• They support an active role for PCPs in the
lung cancer screening process
• Survey respondents generally recognized
the value of LDCT in detecting lung cancer
early, but were less convinced about its
value in decreasing lung cancer mortality.
Acknowledgements
• Paul Han, MD, MA, MPH– Principal Investigator
• Jaclyn Janis, BSN, RN– Data Analyst
• Susan Leeds, MOT– Research Coordinator
Thank You to Our Partners & Their
Membership:
• Maine Primary Care Association
• Maine Academy of Family Physicians
• American College of Physicians,
Maine Chapter
• The Maine Family Medicine
Residency Research Network
Contact Information
• Dr Neil Korsen, Maine Lung Cancer Coalition
Phone: (207) 661-7616
Email: [email protected]
• Jessica Reed, Qualidigm
Phone: (207) 620-8526 x1003
Email: [email protected]
• Danielle Ziller, Qualidigm
Phone: 207.620.8526 x1016
Email: [email protected]
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