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. 2019 May 1;179(5):716-718.
doi: 10.1001/jamainternmed.2018.6405.

Use of the Shared Decision-Making Visit for Lung Cancer Screening Among Medicare Enrollees

James S Goodwin  1   2 , Shawn Nishi  1   2 , Jie Zhou  2 , Yong-Fang Kuo  1   2
Affiliations

Use of the Shared Decision-Making Visit for Lung Cancer Screening Among Medicare Enrollees

James S Goodwin et al. JAMA Intern Med. .

Abstract

This study analyzes Medicare data from 2015 and 2016 to estimate the percentage of Medicare enrollees who underwent low-dose computed tomographic screening for lung cancer during this period and had participated in a shared decision-making visit to discuss the benefits and risks of the procedure before screening.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Nishi reported being a consultant for Veran Medical Technologies; providing clinical user feedback on instrumentation, procedure workflow, system, and software applications; representing the company on panel discussions and workshops at industry meetings; and providing input for design of potential clinical studies and potential products and therapies for future interventional pulmonary products. No other disclosures were reported.

Figures

Figure.
Figure.. Percentage of Medicare Enrollees Aged 55 to 77 Years Undergoing Low-Dose Computed Tomography (LDCT) Screening Who Had a Shared Decision-Making (SDM) Visit in the 3 Months Before the LDCT
The denominator for each month is enrollees who underwent LDCT in that month, and the numerator is enrollees who had an SDM visit on the day of the LDCT or in the previous 90 days. Joinpoint analysis revealed a change point (arrowhead) in May 2016 (95% CI, March 2016–July 2016). The slope of the increase for enrollees receiving SDM before May 2016 showed an absolute increase of 1.05% per month. After May 2016, the slope showed an increase of 0.09% per month. Statistical significance for the joinpoint analysis was set at P < .0001.
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References

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