Survey-Driven Detection and Engagement in Lung Cancer Screening Programs in Sweden

Overview

This study analyzes the lung cancer screening pathway in Sweden, focusing on the participation and eligibility of women aged 55 to 74 with a smoking history. It highlights significant socioeconomic disparities in screening eligibility and completion rates.

Background

Lung cancer screening via low-dose computed tomography (LDCT) is crucial for early detection, particularly among high-risk populations. However, screening remains underutilized, especially in underserved groups, leading to disparities in health outcomes. Understanding the factors influencing screening participation is essential for improving uptake and addressing these disparities.

Data Highlights

Key Findings

• 33.3% of invited women participated in the tobacco use questionnaire.
• 9.6% of respondents were found eligible for lung cancer screening.
• 24% of the LCS-eligible cohort had low educational attainment, compared to 15% of questionnaire participants.
• More than 20% of the LCS-eligible cohort resided in vulnerable neighborhoods.
• Higher socioeconomic status was associated with greater questionnaire participation but lower eligibility for screening.
• 88.8% of LCS-eligible women completed the LDCT scan.

Clinical Implications

The findings suggest that passive invitation strategies for lung cancer screening may exacerbate existing socioeconomic disparities. Targeted outreach and tailored strategies may be necessary to engage high-risk populations effectively.

Conclusion

This analysis underscores the importance of understanding socioeconomic factors in lung cancer screening participation and eligibility, highlighting the need for proactive engagement strategies.

Related Resources & Content

1. Delilovic et al., JAMA Network Open, 2023 -- Survey-Driven Detection and Engagement in Lung Cancer Screening Programs in Sweden
2. European Radiology — Establishment of the First National Lung Cancer Screening Initiative in the European Union: A Case Study from Croatia
3. asco ai in oncology — AI-Assisted Multistep Lung Cancer Screening Program Boosts Uptake Beyond National Averages
4. the asco post — Mammography-Based Outreach Increases Lung Cancer Screening Enrollment in Eligible Women
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