Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer.
As Medicare expands the use of computed tomography (CT) for diagnosing lung cancer, there is increased opportunity to diagnose lung cancer in asymptomatic patients. This descriptive study characterizes the disease-specific diagnostic and treatment services that patients with a positive diagnosis fol...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2017-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5510847?pdf=render |
| _version_ | 1818362833780342784 |
|---|---|
| author | Adam C Powell Amin J Mirhadi Bryan A Loy Laura E Happe James W Long Erin M Kren Amit K Gupta |
| author_facet | Adam C Powell Amin J Mirhadi Bryan A Loy Laura E Happe James W Long Erin M Kren Amit K Gupta |
| author_sort | Adam C Powell |
| collection | DOAJ |
| description | As Medicare expands the use of computed tomography (CT) for diagnosing lung cancer, there is increased opportunity to diagnose lung cancer in asymptomatic patients. This descriptive study characterizes the disease-specific diagnostic and treatment services that patients with a positive diagnosis following CT received, stratified by presentation at CT.Patients who were diagnosed with lung cancer following CT in 2013, had no history of lung cancer, survived at least 1 year, were aged 55-80 years, and had Medicare Advantage insurance were included. Patients were grouped based upon presentation at CT: morbidities unrelated to lung cancer, classic lung cancer symptoms, and cancer syndromes. Patients with none of these factors were categorized into a no diagnoses/symptoms group. The type and intensity of services used in the year following the CT was reported for each group.1,261 patients were included. Early treatment services were most common in the group with morbidities unrelated to lung cancer (13.7%) and least common in the cancer syndromes group (6.6%). Advanced treatment services were used by 47.3% of the cancer syndromes group versus 23.5% of the no diagnoses/symptoms group.The intensity of disease-specific diagnostic and treatment services varied by presentation at CT. Patients with no symptoms or morbidities at the time of CT less frequently received advanced interventions. Learning about the utilization patterns of others with a similar presentation at CT may help patients with positive lung cancer diagnoses engage in shared decision making and in norming their experiences against those of other similarly-situated patients. |
| first_indexed | 2024-12-13T21:38:52Z |
| format | Article |
| id | doaj.art-ad16450e6f904041bdc2f09e916b0d5f |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T21:38:52Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-ad16450e6f904041bdc2f09e916b0d5f2022-12-21T23:30:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01127e018131910.1371/journal.pone.0181319Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer.Adam C PowellAmin J MirhadiBryan A LoyLaura E HappeJames W LongErin M KrenAmit K GuptaAs Medicare expands the use of computed tomography (CT) for diagnosing lung cancer, there is increased opportunity to diagnose lung cancer in asymptomatic patients. This descriptive study characterizes the disease-specific diagnostic and treatment services that patients with a positive diagnosis following CT received, stratified by presentation at CT.Patients who were diagnosed with lung cancer following CT in 2013, had no history of lung cancer, survived at least 1 year, were aged 55-80 years, and had Medicare Advantage insurance were included. Patients were grouped based upon presentation at CT: morbidities unrelated to lung cancer, classic lung cancer symptoms, and cancer syndromes. Patients with none of these factors were categorized into a no diagnoses/symptoms group. The type and intensity of services used in the year following the CT was reported for each group.1,261 patients were included. Early treatment services were most common in the group with morbidities unrelated to lung cancer (13.7%) and least common in the cancer syndromes group (6.6%). Advanced treatment services were used by 47.3% of the cancer syndromes group versus 23.5% of the no diagnoses/symptoms group.The intensity of disease-specific diagnostic and treatment services varied by presentation at CT. Patients with no symptoms or morbidities at the time of CT less frequently received advanced interventions. Learning about the utilization patterns of others with a similar presentation at CT may help patients with positive lung cancer diagnoses engage in shared decision making and in norming their experiences against those of other similarly-situated patients.http://europepmc.org/articles/PMC5510847?pdf=render |
| spellingShingle | Adam C Powell Amin J Mirhadi Bryan A Loy Laura E Happe James W Long Erin M Kren Amit K Gupta Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. PLoS ONE |
| title | Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. |
| title_full | Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. |
| title_fullStr | Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. |
| title_full_unstemmed | Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. |
| title_short | Presentation at computed tomography (CT) scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer. |
| title_sort | presentation at computed tomography ct scan of the thorax and first year diagnostic and treatment utilization among patients diagnosed with lung cancer |
| url | http://europepmc.org/articles/PMC5510847?pdf=render |
| work_keys_str_mv | AT adamcpowell presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT aminjmirhadi presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT bryanaloy presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT lauraehappe presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT jameswlong presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT erinmkren presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer AT amitkgupta presentationatcomputedtomographyctscanofthethoraxandfirstyeardiagnosticandtreatmentutilizationamongpatientsdiagnosedwithlungcancer |