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    The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study

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    Authors
    Broadbent, Rachel
    Gorman, L.
    Armitage, C. J.
    Radford, John A
    Linton, Kim M
    Affiliation
    Division of Cancer Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK
    Issue Date
    2021
    
    Metadata
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    Abstract
    Background: Hodgkin lymphoma survivors (HLS) are at excess risk of lung cancer as a consequence of HL treatment. HLS without a heavy smoking history are currently unable to access lung cancer screening (LCS) programmes aimed at ever smokers, and there is an unmet need to develop a targeted LCS programme. In this study we prospectively explored HLS perspectives on a future LCS programme, including motivating factors and potential barriers to participation, with the aim of identifying ways to optimise uptake in a future programme. Methods: Semistructured telephone interviews were conducted with HLS, aged 18-80 and lymphoma-free for ≥5 years, selected from a clinical database (ADAPT). Participants provided informed consent. Data were analysed using inductive thematic analysis. Results: Despite awareness of other late effects, most participants were unaware of their excess risk of lung cancer. Most were willing to participate in a future LCS programme, citing the potential curability of early-stage lung cancer and reassurance as motivating factors, whilst prior experience of healthcare was a facilitator. Whilst the screening test (a low dose CT scan) was considered acceptable, radiation risk was a concern for some and travel and time off work were potential barriers to participation. Conclusions: Our results suggest that most HLS would participate in a future LCS programme, motivated by perceived benefits. Their feedback identified a need to develop educational materials addressing lung cancer risk and concerns about screening, including radiation risk. Such materials could be provided upon an invitation to LCS. Uptake in a future programme may be further optimized by offering flexible screening appointments close to home.
    Citation
    Broadbent R, Gorman L, Armitage CJ, Radford J, Linton K. The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study [Internet]. Health Expectations. Wiley; 2021.
    Journal
    Health Expectations
    URI
    http://hdl.handle.net/10541/624759
    DOI
    10.1111/hex.13353
    PubMed ID
    34755419
    Additional Links
    https://dx.doi.org/10.1111/hex.13353
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1111/hex.13353
    Scopus Count
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