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Using Existing Mobile Outreach Programs to Recruit Patients for Lung Cancer Screening in Underserved Areas
Haylie E. Reed, Matthew A. Steliga, Jason L. Muesse, Katy A. Marino.
University of Arkansas, Little Rock, AR, USA.

OBJECTIVE: Lung cancer screening confers survival benefit in high risk individuals. Unfortunately, high rates of lung cancer may occur in areas with poor healthcare access. Mobile outreach is currently being used for mammography and COVID screening / immunizations throughout rural areas of our state. Utilization of existing systems which access these underserved populations could improve lung cancer screening rates. We aimed to demonstrate utility in recruiting eligible patients for lung cancer screening, provide information, and increase awareness.
METHODS: A member of our lung cancer screening program joined two mobile outreach teams which traveled to rural areas. Each patient was evaluated for eligibility for lung cancer screening by age and smoking status. All patients who were smoking were give information regarding cessation and counseling. Telephone follow up was provided regarding tobacco cessation and scheduling lung screening.
RESULTS: Over the course of 9 consecutive months, 11.2% of women (28/250) who received services through the mobile mammography program were referred for lung screening. In addition, 9.7% of patients (38/390) accessing the COVID screening unit were referred for lung screening. None of the patients were previously enrolled in lung screening.
CONCLUSIONS:
Many in rural areas who qualify for lung screening are not accessing and are not aware of screening programs. Using existing mobile mammography / COVID outreach programs in underserved areas can provide information and improve recruitment of these patients to a lung cancer screening program.


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