Current lung cancer screening practice amongst general practitioners in Western Australia: a cross-sectional study

Intern Med J. 2018 Jan;48(1):78-80. doi: 10.1111/imj.13670.

Abstract

Lung cancer screening with low dose computed tomography (LDCT) is recommended in the USA and Canada for high-risk smokers but not in Australia. We administered a cross-sectional survey to Western Australian general practitioners (GP). The majority (64/93, 69%) reported requesting a screening chest X-ray (42/93, 45%) and/or LDCT (38/93, 41%) in the past year. LDCT screening was more common if the GP had received education from radiology practices (odds ratio (OR) 2.81, P = 0.03) or if they believed screening is funded by the Medical Benefits Scheme (OR 3.57, P = 0.02). Lung cancer screening with LDCT is occurring outside a coordinated programme, contrary to Australian guidelines.

Keywords: computed tomography; general practice; guideline adherence; lung neoplasm; mass screening.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Early Detection of Cancer / methods*
  • Early Detection of Cancer / standards
  • Female
  • General Practitioners* / standards
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / epidemiology*
  • Male
  • Middle Aged
  • Smoking / adverse effects
  • Smoking / epidemiology
  • Western Australia / epidemiology