Hasmeena Kathuria, M.D.

Boston University, Medical Campus

Shared Decision-Making in Lung Cancer Screening

Hasmeena Kathuria, M.D.

The goal of our study is to reduce disparities in lung cancer morbidity and mortality by capitalizing on hospitalization at an urban safety-net hospital as an opportunity to connect high-risk smokers to lung cancer screening and smoking cessation services. We will study the effect of adding a nurse-driven low-dose CT screening shared decision-making intervention to inpatient smoking cessation counseling among hospitalized smokers. We will test whether initiating shared decision-making for lung cancer screening in conjunction with inpatient smoking cessation counseling during hospitalization increases low-dose CT screening rates, knowledge of lung cancer screening, and smoking quit rates. We will establish the effectiveness of the intervention, and also help inform future implementation.

Update: We have begun enrolling study participants either to receive inpatient shared decision-making by a thoracic oncology nurse using a decision aid, or usual care (a decision aid about low-dose CT), during inpatient smoking cessation consultation visits. In both study arms, the thoracic oncology nurse counsels patients on smoking cessation. We are collecting data on patient knowledge of low-dose CT screening (before and after the intervention); completion of the screening; and six-month smoking quit rates. We hypothesize that for screen-eligible smokers, inpatient shared decision-making will increase low-dose CT screening rates, patient knowledge of the screening, and six-month smoking quit rates compared to usual care.

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