{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T04:33:24Z","timestamp":1778560404938,"version":"3.51.4"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"7-8","funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["CSRD EPID-007-15S"],"award-info":[{"award-number":["CSRD EPID-007-15S"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["HSRD IIR 16-003"],"award-info":[{"award-number":["HSRD IIR 16-003"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["VA ICU000170A"],"award-info":[{"award-number":["VA ICU000170A"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Lung cancer screening (LCS) uptake is low. Assessing patients\u2019 cigarette pack-years and years since quitting is challenging given the lack of documentation in structured electronic health record data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We used a convenience sample of patients with a chest CT scan in the Veterans Health Administration. We abstracted data on cigarette use from electronic health record notes to determine LCS eligibility based on the 2021 U.S. Preventive Services Task Force age and cigarette use eligibility criteria. We used these data as the \u201cground truth\u201d of LCS eligibility to compare them with structured data regarding tobacco use and a COPD diagnosis. We calculated sensitivity and specificity as well as fast-and-frugal decision trees.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>For 50-80\u2013year-old veterans identified as former or current tobacco users, we obtained 94% sensitivity and 47% specificity. For 50-80\u2013year-old veterans identified as current tobacco users, we obtained 59% sensitivity and 79% specificity. Our fast-and-frugal decision tree that included a COPD diagnosis had a sensitivity of 69% and a specificity of 60%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These results can help health care systems make their LCS outreach efforts more efficient and give administrators and researchers a simple method to estimate their number of possibly eligible patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad017","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T19:52:58Z","timestamp":1675281178000},"page":"e2419-e2423","source":"Crossref","is-referenced-by-count":4,"title":["Use of Veterans Health Administration Structured Data to Identify Patients Eligible for Lung Cancer Screening"],"prefix":"10.1093","volume":"188","author":[{"given":"Kenneth","family":"Gundle","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Rehabilitation, Oregon Health & Science University , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R","family":"Hooker","sequence":"additional","affiliation":[{"name":"Center to Improve Veteran Involvement in Care, VA Portland Health Care System , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara E","family":"Golden","sequence":"additional","affiliation":[{"name":"Center to Improve Veteran Involvement in Care, VA Portland Health Care System , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Shull","sequence":"additional","affiliation":[{"name":"Center to Improve Veteran Involvement in Care, VA Portland Health Care System , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Crothers","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care & Medicine, VA Puget Sound Health Care System and Department of Medicine, University of Washington , Seattle, WA 98108, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne C","family":"Melzer","sequence":"additional","affiliation":[{"name":"Section of Pulmonary & Critical Care Medicine, VA Minneapolis Health Care System , Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher G","family":"Slatore","sequence":"additional","affiliation":[{"name":"Center to Improve Veteran Involvement in Care, VA Portland Health Care System , Portland, OR 97239, USA"},{"name":"Division of Pulmonary & Critical Care Medicine, Department of Medicine, Oregon Health & Science University , Portland, OR 97239, USA"},{"name":"Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System , Portland, OR 97239, 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