{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T14:24:45Z","timestamp":1787408685965,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004897","name":"Pennsylvania Department of Health","doi-asserted-by":"publisher","award":["SAP# 4100072541"],"award-info":[{"award-number":["SAP# 4100072541"]}],"id":[{"id":"10.13039\/100004897","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study tested methods to increase lung cancer screening referral\/order and completion rates in primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients identified via the electronic medical record as potentially lung cancer screening eligible were randomized either to a telephone outreach and decision counseling Group (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009506) or a usual care Group (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20092066). We evaluated intervention and covariate effects overall and assessed outcomes among telephone outreach and decision counseling Group patients verified as eligible (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200955), comparing rates of those who had decision counseling (OC\u2009+\u2009DC Group,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200924) and who did not (OC\u2212DC Group,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200931).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Telephone outreach and decision counseling Group lung cancer screening referral\/order and completion rates were higher than usual care Group rates (16% and 9%, respectively, OR = 1.82, CI: 1.37, 2.41) and (8% and 6%, respectively, OR = 1.45, CI: 0.999, 2.09) and rates were higher among older and currently smoking patients (OR = 1.18, CI: 0.999, 1.40 and OR = 3.09, CI: 2.36, 4.05, respectively and OR = 1.32, CI: 1.06, 1.65 and OR = 2.78, CI: 1.98, 3.92, respectively). Among eligible patients, the lung cancer screening referral\/order rate was much higher in the OC\u2009+\u2009DC Group versus OC\u2212DC Group (96% and 42%, respectively, RR\u2009=\u20092.28, CI: 1.50, 3.49) and the lung cancer screening completion rate was somewhat higher (46% and 36%, respectively, RR\u2009=\u20091.29, CI: 0.68, 2.46).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings suggest that patient outreach and decision counseling may increase lung cancer screening rates in primary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261479224","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:26:25Z","timestamp":1787239585000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Increasing lung cancer screening referral\/order and completion rates in primary care through patient outreach and shared decision making"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0171-2395","authenticated-orcid":false,"given":"Melissa","family":"DiCarlo","sequence":"first","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9941-7660","authenticated-orcid":false,"given":"Ayako","family":"Shimada","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5043-1407","authenticated-orcid":false,"given":"Randa","family":"Sifri","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Johnson","sequence":"additional","affiliation":[{"name":"Lehigh Valley Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9428-1151","authenticated-orcid":false,"given":"Scott W","family":"Keith","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9971-4844","authenticated-orcid":false,"given":"Tingting","family":"Zhan","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8940-8909","authenticated-orcid":false,"given":"Hattie","family":"Jackson","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9838-6696","authenticated-orcid":false,"given":"Amanda","family":"Indictor","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Burgess","sequence":"additional","affiliation":[{"name":"Lehigh Valley Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Mahon","sequence":"additional","affiliation":[{"name":"Center for Research and Innovation, American College of Radiology, Reston, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etta","family":"Pisano","sequence":"additional","affiliation":[{"name":"Center for Research and Innovation, American College of Radiology, Reston, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8059-7390","authenticated-orcid":false,"given":"Ronald E","family":"Myers","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21708"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1102873"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1911793"},{"key":"e_1_3_2_5_2","unstructured":"Cms. Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT). 2015."},{"key":"e_1_3_2_6_2","unstructured":"NCD - Lung Cancer Screening with Low Dose Computed Tomography (LDCT) (210.14)."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-18-0629"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djy228"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6908a1"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.3190"},{"key":"e_1_3_2_11_2","unstructured":"State of Lung Cancer: State Data. 11\/3\/2025 ed.: American Lung Association 2025."},{"key":"e_1_3_2_12_2","first-page":"1","article-title":"Lung cancer screening in African Americans: the time to act is now","volume":"2","author":"Prosper A","year":"2020","unstructured":"Prosper A, Brown K, Schussel B, et al. Lung cancer screening in African Americans: the time to act is now. Radiol: Imag Cancer 2020; 2: 1\u20132.","journal-title":"Radiol: Imag Cancer"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-024-00553-4"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/09691413231213495"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201612-984OC"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201705-392OC"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.15383"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2022.107069"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08189-1"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.30452"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.5318"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.8559"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.05.592"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2022.12.022"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.70001"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.01.041"},{"key":"e_1_3_2_27_2","first-page":"1","article-title":"Shared decision-making for lung cancer screening: a systematic review","volume":"4","author":"Landsteiner A","year":"2025","unstructured":"Landsteiner A, Zerzan N, Ullman KE, et al. Shared decision-making for lung cancer screening: a systematic review. CHEST Pulmonary 2025; 4: 1\u201319.","journal-title":"CHEST Pulmonary"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X251355906"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2025.06.006"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2024.01.007"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413261479224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09691413261479224","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413261479224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T13:49:58Z","timestamp":1787406598000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09691413261479224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":29,"alternative-id":["10.1177\/09691413261479224"],"URL":"https:\/\/doi.org\/10.1177\/09691413261479224","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,20]]},"article-number":"09691413261479224"}}