Implementation of an Electronic Medical Record Alert Significantly Increases Lung Cancer Screening Uptake

Lung cancer survival is significantly improved with early detection. However, lung cancer screening (LCS) uptake remains low despite national recommendations. Our aim was to determine whether implementation of an electronic medical record (EMR) alert and order set would increase LCS uptake. A query...

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Published in:Clinical lung cancer 2024-11, Vol.25 (7), p.619-623
Main Authors: Park, Ju Ae, Yalamanchili, Sriya, Brown, Zeliene, Myers, Andrew, Weyant, Michael J., Mahajan, Amit K., Connolly, Christopher Patrick, Suzuki, Kei
Format: Article
Language:English
Subjects:
Aged
Early Detection of Cancer - methods
Electronic Health Records - statistics & numerical data
Electronic medical record notification
Female
Humans
Improving cancer screening
Lung Neoplasms - diagnosis
Male
Mass Screening - methods
Middle Aged
Primary Health Care
Provider gap
Tomography, X-Ray Computed - methods
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container_end_page 623
container_issue 7
container_start_page 619
container_title Clinical lung cancer
container_volume 25
creator Park, Ju Ae
Yalamanchili, Sriya
Brown, Zeliene
Myers, Andrew
Weyant, Michael J.
Mahajan, Amit K.
Connolly, Christopher Patrick
Suzuki, Kei
description Lung cancer survival is significantly improved with early detection. However, lung cancer screening (LCS) uptake remains low despite national recommendations. Our aim was to determine whether implementation of an electronic medical record (EMR) alert and order set would increase LCS uptake. A query of current and former smokers identified 62,630 patients aged 50 and above in the primary care setting between January 1, 2021 and May 5, 2022. We randomly reviewed 3704 charts for LCS eligibility and recorded who received LCS in the form of low-dose computed tomography amongst the eligible patients. We collected demographic information including gender, race, primary language, ethnicity, zip code, and insurance. Data analysis was performed utilizing 2-proportional z tests. We identified 461 patients who were LCS eligible. Our overall LCS uptake was 19.9% (92/461). Three-time frames were analyzed: (1) prior to EMR alert implementation, (2) after implementation of EMR alert (January 7, 2021), and (3) after implementation of EMR alert and order set (March 3, 2021). Screening uptake was significantly improved with initiation of EMR alert (1/46 [2.2%] to 23/109 [21.1%]; P = .003). LCS uptake remained similarly high after subsequent order set implementation (23/109 [21.1%] and 68/306 [22.2%]; P = .72). Amongst the different demographics, age was significantly associated with screening uptake, with age ≥65 demonstrating statistically significant increased rates of screening (15.6% [41/263] for
doi_str_mv 10.1016/j.cllc.2024.08.002
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However, lung cancer screening (LCS) uptake remains low despite national recommendations. Our aim was to determine whether implementation of an electronic medical record (EMR) alert and order set would increase LCS uptake. A query of current and former smokers identified 62,630 patients aged 50 and above in the primary care setting between January 1, 2021 and May 5, 2022. We randomly reviewed 3704 charts for LCS eligibility and recorded who received LCS in the form of low-dose computed tomography amongst the eligible patients. We collected demographic information including gender, race, primary language, ethnicity, zip code, and insurance. Data analysis was performed utilizing 2-proportional z tests. We identified 461 patients who were LCS eligible. Our overall LCS uptake was 19.9% (92/461). Three-time frames were analyzed: (1) prior to EMR alert implementation, (2) after implementation of EMR alert (January 7, 2021), and (3) after implementation of EMR alert and order set (March 3, 2021). Screening uptake was significantly improved with initiation of EMR alert (1/46 [2.2%] to 23/109 [21.1%]; P = .003). LCS uptake remained similarly high after subsequent order set implementation (23/109 [21.1%] and 68/306 [22.2%]; P = .72). Amongst the different demographics, age was significantly associated with screening uptake, with age ≥65 demonstrating statistically significant increased rates of screening (15.6% [41/263] for &lt;65 vs 25.8% [51/198] for ≥65; P = .007). Implementation of EMR alerts significantly improves LCS uptake in the primary care setting. Such efforts should be considered in other hospital settings to improve LCS uptake. Low uptake remains a significant issue in lung cancer screening. 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subjects Aged
Early Detection of Cancer - methods
Electronic Health Records - statistics & numerical data
Electronic medical record notification
Female
Humans
Improving cancer screening
Lung Neoplasms - diagnosis
Male
Mass Screening - methods
Middle Aged
Primary Health Care
Provider gap
Tomography, X-Ray Computed - methods
title Implementation of an Electronic Medical Record Alert Significantly Increases Lung Cancer Screening Uptake
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