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Improving Utilization of Lung Cancer Screening in Underserved PA Populations

A

American College of Radiology (ACR)

Status

Active, not recruiting

Conditions

Lung Cancer

Treatments

Other: Educational Materials and Decision Counseling

Study type

Interventional

Funder types

Other

Identifiers

NCT04806399
Cure 16

Details and patient eligibility

About

This study is an interventional study intended to assess the impact of a centralized outreach intervention that includes shared decision-making about lung cancer screening (LCS) in LCS-eligible primary care patients. The study's goal is to increase LCS rates compared to usual care and thus reduce lung cancer deaths.

Full description

The research team will select primary care practices included in areas where lung cancer mortality is high. An outreach registry of primary care patients obtaining care at participating practices who meet study eligibility criteria will be created from the electronic medical record. 500 primary care patients will be randomly selected for the Outreach Contact with Decision Counseling (OCDC) Group from this outreach registry. Patients targeted for inclusion in the study will have a scheduled primary care appointment 18-23 days after initial outreach contact.

Enrollment

2,500 estimated patients

Sex

All

Ages

50 to 77 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Have an upcoming office visit with a primary care physician in one of the study practices
  • Between the ages of 50 and 77 (inclusive)
  • History of smoking (current or former) in the electronic medical record (EMR)

Exclusion criteria

  • Chest CT performed in the last 10 months before study initiation according to EMR
  • Diagnosis of lung cancer indicated in the problem list in the EMR
  • Current cancer treatment or other qualifying diagnoses that would make outreach inappropriate (e.g., dementia, hearing disability)

Trial design

Primary purpose

Screening

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

2,500 participants in 2 patient groups

Usual Care Control Group
No Intervention group
Outreach Contact with Decision Counseling Group
Active Comparator group
Treatment:
Other: Educational Materials and Decision Counseling

Trial contacts and locations

2

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Central trial contact

Donna Hartfeil; Irene Mahon

Data sourced from clinicaltrials.gov

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