Utilisation of primary care electronic patient records for identification and targeted invitation of individuals to a lung cancer screening programme
Jennifer Dickson, Helen Hall, Carolyn Horst, Sophie Tisi, Priyam Verghese, Sarah Worboys, Andrew Perugia, James Rusius, Anne-Marie Mullin, Jonathan Teague, Laura Farrelly, Vicky Bowyer, Kylie Gyertson, Fanta Bojang, Claire Levermore, Tania Anastasiadis, John P. McCabe, Anand Devaraj, Arjun Nair, Neal Navani, Allan Hackshaw, Samantha L. Quaife, Sam M. Janes
Abstract
Lung cancer screening (LCS) eligibility is largely determined by tobacco consumption. Primary care smoking data could guide LCS invitation and eligibility assessment. We present observational data from the SUMMIT Study, where individual self-reported smoking status was concordant with primary care records in 75.3%. However, 10.3% demonstrated inconsistencies between historic and most recent smoking status documentation. Quantified tobacco consumption was frequently missing, precluding direct LCS eligibility assessment. Primary care recorded "ever-smoker" status, encompassing both recent and historic documentation, can be used to target LCS invitation. Identifying those with missing or erroneous "never-smoker" smoking status is crucial for equitable invitation to LCS.