TY - JOUR
T1 - Research Priorities for Interventions to Address Health Disparities in Lung Nodule Management An Official American Thoracic Society Research Statement
AU - American Thoracic Society Assembly on Thoracic Oncology
AU - Steiling, Katrina
AU - Wisnivesky, Juan
AU - Begnaud, Abbie
AU - Celedón, Juan C.
AU - Charlot, Marjory
AU - Dietrick, Frank
AU - Duma, Narjust
AU - Echieh, Chidiebere Peter
AU - Fong, Kwun M.
AU - Ford, Jean G.
AU - Gould, Michael K.
AU - Holguin, Fernando
AU - Kathuria, Hasmeena
AU - Ost, David E.
AU - PéREZ-STABLE, Eliseo J.
AU - Rivera, M. Patricia
AU - Tanner, Nichole T.
AU - Thomson, Carey Conley
AU - Wiener, Renda Soylemez
N1 - Publisher Copyright:
Copyright © 2023 by the American Thoracic Society.
PY - 2023/3/15
Y1 - 2023/3/15
N2 - Background: Lung nodules are common incidental findings, and timely evaluation is critical to ensure diagnosis of localizedstage and potentially curable lung cancers. Rates of guidelineconcordant lung nodule evaluation are low, and the risk of delayed evaluation is higher for minoritized groups. Objectives: To summarize the existing evidence, identify knowledge gaps, and prioritize research questions related to interventions to reduce disparities in lung nodule evaluation. Methods: A multidisciplinary committee was convened to review the evidence and identify key knowledge gaps in four domains: 1) research methodology, 2) patient-level interventions, 3) clinicianlevel interventions, and 4) health system-level interventions. A modified Delphi approach was used to identify research priorities. Results: Key knowledge gaps included 1) a lack of standardized approaches to identify factors associated with lung nodule management disparities, 2) limited data evaluating the role of social determinants of health on disparities in lung nodule management, 3) a lack of certainty regarding the optimal strategy to improve patient-clinician communication and information transmission and/or retention, and 4) a paucity of information on the impact of patient navigators and culturally trainedmultidisciplinary teams. Conclusions: This statement outlines a research agenda intended to stimulate high-impact studies of interventions to mitigate disparities in lung nodule evaluation. Research questions were prioritized around the following domains: 1) need for methodologic guidelines for conducting research related to disparities in nodule management, 2) evaluating how social determinants of health influence lung nodule evaluation, 3) studying approaches to improve patient-clinician communication, and 4) evaluating the utility of patient navigators and culturally enriched multidisciplinary teams to reduce disparities.
AB - Background: Lung nodules are common incidental findings, and timely evaluation is critical to ensure diagnosis of localizedstage and potentially curable lung cancers. Rates of guidelineconcordant lung nodule evaluation are low, and the risk of delayed evaluation is higher for minoritized groups. Objectives: To summarize the existing evidence, identify knowledge gaps, and prioritize research questions related to interventions to reduce disparities in lung nodule evaluation. Methods: A multidisciplinary committee was convened to review the evidence and identify key knowledge gaps in four domains: 1) research methodology, 2) patient-level interventions, 3) clinicianlevel interventions, and 4) health system-level interventions. A modified Delphi approach was used to identify research priorities. Results: Key knowledge gaps included 1) a lack of standardized approaches to identify factors associated with lung nodule management disparities, 2) limited data evaluating the role of social determinants of health on disparities in lung nodule management, 3) a lack of certainty regarding the optimal strategy to improve patient-clinician communication and information transmission and/or retention, and 4) a paucity of information on the impact of patient navigators and culturally trainedmultidisciplinary teams. Conclusions: This statement outlines a research agenda intended to stimulate high-impact studies of interventions to mitigate disparities in lung nodule evaluation. Research questions were prioritized around the following domains: 1) need for methodologic guidelines for conducting research related to disparities in nodule management, 2) evaluating how social determinants of health influence lung nodule evaluation, 3) studying approaches to improve patient-clinician communication, and 4) evaluating the utility of patient navigators and culturally enriched multidisciplinary teams to reduce disparities.
KW - health disparities
KW - health outcomes
KW - lung nodule
KW - pulmonary nodule
KW - research priorities
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U2 - 10.1164/rccm.202212-2216ST
DO - 10.1164/rccm.202212-2216ST
M3 - Article
C2 - 36920066
AN - SCOPUS:85150396664
SN - 1073-449X
VL - 207
SP - E31-E46
JO - American journal of respiratory and critical care medicine
JF - American journal of respiratory and critical care medicine
IS - 6
ER -