{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:10:11Z","timestamp":1777929011800,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["RSG 19-118-01-CPHPS"],"award-info":[{"award-number":["RSG 19-118-01-CPHPS"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD014890"],"award-info":[{"award-number":["R01MD014890"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To achieve the lung cancer screening (LCS) mortality benefit in clinical trials, timely, real-world follow-up of abnormal test results is necessary. Presently, annual LCS rates are lower than in trials, and adherence to follow-up after suspicious findings has not been well studied. This study examined timely adherence to follow-up recommendations after positive low-dose computed tomography (LDCT) screenings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included individuals from two academic primary care practices in New York City who met United States Preventative Services Task Force LCS eligibility and had a positive LDCT scan between 2013 and 2020. They were recommended for shorter interval follow-up repeat computed tomography (CT), CT biopsy, or positron emission tomography\/CT. Adherence was completion of the prescribed imaging by 15 days after the recommended 7-, 30-, and 90-day follow-up and by 30 days after the 180-day recommended follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 106 individuals with a positive LDCT scan, 64 (60%) were adherent to follow-up recommendations. Adherence was 72%, 63%, and 42% for recommended follow-ups of 30, 90, and 180 days, respectively. Being male was a predictor of a lower adherence rate. Among 23 individuals newly diagnosed with lung cancer after a positive LDCT scan, 83% were adherent to follow-up testing and 82% of cancers were Stage 1A or limited stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was variable adherence to the LCS follow-up recommendations despite positive screening CT, suggesting that even in a well-established screening program there may not be an efficient, systematic approach for follow-up. The delays in repeat testing potentially undermine the benefits of early detection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413231162507","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T03:51:42Z","timestamp":1678765902000},"page":"150-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Timely adherence to follow-up after high-risk lung cancer screenings"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6806-4957","authenticated-orcid":false,"given":"Dustin","family":"Kee","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith M.","family":"Sigel","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan P.","family":"Wisnivesky","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minal S.","family":"Kale","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"bibr1-09691413231162507","unstructured":"Centers for Disease Control and Prevention (CDC). An update on cancer deaths in the United States, https:\/\/www.cdc.gov\/cancer\/dcpc\/research\/update-on-cancer-deaths\/index.htm (2022, accessed 9 September 2022)."},{"key":"bibr2-09691413231162507","unstructured":"National Cancer Institute. 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International early lung cancer action program: Screening protocol, https:\/\/www.ielcap.org\/sites\/default\/files\/I-ELCAP-protocol.pdf (2022, accessed 22 January 2023)."},{"key":"bibr17-09691413231162507","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.20.23637"},{"key":"bibr18-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2021.09.013"},{"key":"bibr19-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.022"},{"key":"bibr20-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202006-631RL"},{"key":"bibr21-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X08322013"},{"key":"bibr22-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2016.03.007"},{"key":"bibr23-09691413231162507","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.041418"},{"key":"bibr24-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202107-887OC"},{"key":"bibr25-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1512-9"},{"key":"bibr26-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.25102"},{"key":"bibr27-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.8559"},{"key":"bibr28-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.07.2172"},{"key":"bibr29-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.8.896"},{"key":"bibr30-09691413231162507","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2017.08.024"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413231162507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09691413231162507","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413231162507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:25:40Z","timestamp":1777677940000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09691413231162507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/09691413231162507"],"URL":"https:\/\/doi.org\/10.1177\/09691413231162507","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,14]]}}}