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    Likely uptake of a future a lung cancer screening programme in Hodgkin lymphoma survivors: a questionnaire study

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    Authors
    Broadbent, Rachel
    Armitage, C. J.
    Crosbie, Philip A 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, Manchester, UK
    Issue Date
    2022
    
    Metadata
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    Abstract
    Background: Many Hodgkin lymphoma (HL) survivors are at increased risk of subsequent malignant neoplasms (SMN), including lung cancer, due to previous treatment for HL. Lung cancer screening (LCS) detects early-stage lung cancers in ever smokers but HL survivors without a heavy smoking history are ineligible for screening. There is a rationale to develop a targeted LCS. The aim of this study was to investigate levels of willingness to undergo LCS in HL survivors, and to identify the psycho-social factors associated with screening hesitancy. Methods: A postal questionnaire was sent to 281 HL survivors registered in a long-term follow-up database and at increased risk of SMNs. Demographic, lung cancer risk factors, psycho-social and LCS belief variables were measured. Multivariable logistic regression analysis was performed to determine the factors associated with lung cancer screening hesitancy, defined as those who would 'probably' or 'probably not' participate. Results: The response rate to the questionnaire was 58% (n = 165). Participants were more likely to be female, older and living in a less deprived area than non-participants. Uptake (at any time) of breast and bowel cancer screening among those previously invited was 99% and 77% respectively. 159 participants were at excess risk of lung cancer. The following results refer to these 159. Around half perceived themselves to be at greater risk of lung cancer than their peers. Only 6% were eligible for lung cancer screening pilots aimed at ever smokers in the UK. 98% indicated they would probably or definitely participate in LCS were it available. Psycho-social variables associated with LCS hesitancy on multivariable analysis were male gender (OR 5.94 CI 1.64-21.44, p < 0.01), living in an area with a high index of multiple deprivation decile (deciles 6-10) (OR 8.22 CI 1.59-42.58, p < 0.05) and lower levels of self-efficacy (OR 1.64 CI 1.30-2.08 p < 0.01). Conclusion: HL survivors responding to this survey were willing to participate in a future LCS programme but there was some hesitancy. A future LCS trial for HL survivors should consider the factors associated with screening hesitancy in order to minimise barriers to participation.
    Citation
    Broadbent R, Armitage CJ, Crosbie P, Radford J, Linton K. Likely uptake of a future a lung cancer screening programme in Hodgkin lymphoma survivors: a questionnaire study. Vol. 22, BMC Pulmonary Medicine. Springer Science and Business Media LLC; 2022.
    Journal
    BMC Pulmonary Medicine
    URI
    http://hdl.handle.net/10541/625217
    DOI
    10.1186/s12890-022-01959-3
    PubMed ID
    35484621
    Additional Links
    https://dx.doi.org/10.1186/s12890-022-01959-3
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12890-022-01959-3
    Scopus Count
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