{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:16:36Z","timestamp":1786115796883,"version":"build-2736575974"},"reference-count":55,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Lung cancer screening (LCS) has been shown to reduce lung cancer mortality; however, numerous obstacles impede the successful development and expansion of LCS programs, particularly in underserved communities where uptake is limited. Neighborhood disadvantage plays a significant role, as numerous studies have elucidated the influence of race, ethnicity, income, and other measures of social disadvantage on LCS, as well as lung nodule surveillance programs. Successful development and expansion of LCS and nodule programs in inner-city hospitals can be an important means of improving health equity. The present commentary describes the key elements, challenges, and solutions involved in the successful implementation of an LCS program in an urban safety-net hospital, focusing on high-impact relationships with intra-institutional and system-level stakeholders.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1751534","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T05:31:55Z","timestamp":1785994315000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of a lung cancer screening program at an urban safety-net hospital: enabling solutions via stakeholder engagement"],"prefix":"10.3389","volume":"14","author":[{"given":"Stephen J.","family":"Kuperberg","sequence":"first","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, New York City Health and Hospitals, Woodhull, Brooklyn","place":["NY, United States"]},{"name":"Department of Medicine, New York University Grossman School of Medicine","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonna","family":"Mercado","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, New York City Health and Hospitals, Woodhull, Brooklyn","place":["NY, United States"]},{"name":"Department of Medicine, New York University Grossman School of Medicine","place":["New York, NY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1056\/NEJMoa1102873","article-title":"Reduced lung-cancer mortality with low-dose computed tomographic screening","volume":"365","year":"2011","journal-title":"N Engl J Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1056\/NEJMoa1911793","article-title":"Reduced lung-cancer mortality with volume CT screening in a randomized trial","volume":"382","author":"de Koning","year":"2020","journal-title":"N Engl J Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1164\/rccm.201408-1475OC","article-title":"Long-term follow-up results of the DANTE trial, a randomized study of lung cancer screening with spiral computed tomography","volume":"191","author":"Infante","year":"2015","journal-title":"Am J Respir Crit Care Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1001\/jama.2021.1117","article-title":"Screening for lung cancer: US preventive services task force recommendation statement","volume":"325","author":"US Preventive Services Task","year":"2021","journal-title":"JAMA"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e232850","DOI":"10.1148\/radiol.232850","article-title":"20-year progress in lung cancer screening: a marathon, not a sprint","volume":"309","author":"Sequist","year":"2023","journal-title":"Radiology."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e243190","DOI":"10.1001\/jamanetworkopen.2024.3190","article-title":"Prevalence of lung cancer screening in the US, 2022","volume":"7","author":"Henderson","year":"2024","journal-title":"JAMA Netw Open."},{"key":"B7","unstructured":"2024"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e95","DOI":"10.1164\/rccm.202008-3053ST","article-title":"Addressing disparities in lung cancer screening eligibility and healthcare access. 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