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Cubillos L, Brenner AT, Birchard K, et al. Multidisciplinary quality improvement initiative to standardize reporting of lung cancer screening. Transl Lung Cancer Res. 2018;7:S297-S301doi: 10.21037/tlcr.2018.09.08.
Cubillos, L., Brenner, A. T., Birchard, K., Henderson, L. M., Molina, P. L., Pignone, M., Ratner, S., Rivera, M. P., Jones, L., & Reuland, D. S. (2018). Multidisciplinary quality improvement initiative to standardize reporting of lung cancer screening. Translational lung cancer research, 7S297-S301. https://doi.org/10.21037/tlcr.2018.09.08
Cubillos, Laura, et al. "Multidisciplinary quality improvement initiative to standardize reporting of lung cancer screening." Translational lung cancer research vol. 7 (2018): S297-S301. doi: https://doi.org/10.21037/tlcr.2018.09.08
Cubillos L, Brenner AT, Birchard K, Henderson LM, Molina PL, Pignone M, Ratner S, Rivera MP, Jones L, Reuland DS. Multidisciplinary quality improvement initiative to standardize reporting of lung cancer screening. Transl Lung Cancer Res. 2018 Sep;7:S297-S301. doi: 10.21037/tlcr.2018.09.08. PMID: 30393627; PMCID: PMC6193896.
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Transl Lung Cancer Res. 2018 Sep;7:S297-S301. doi: 10.21037/tlcr.2018.09.08.

Multidisciplinary quality improvement initiative to standardize reporting of lung cancer screening.

Translational lung cancer research

Laura Cubillos, Alison T Brenner, Katherine Birchard, Louise M Henderson, Paul L Molina, Michael Pignone, Shana Ratner, M Patricia Rivera, Laura Jones, Daniel S Reuland

Affiliations

  1. Cecil G Sheps Center for Health Services Research, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
  2. Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
  3. Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
  4. Department of Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
  5. Department of Medicine, Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
  6. Institute for Healthcare Quality and Improvement, UNC Health Care, Chapel Hill, NC, USA.
  7. Division of Pulmonary Diseases and Critical Care Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  8. Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University, Nashville, TN, USA.

PMID: 30393627 PMCID: PMC6193896 DOI: 10.21037/tlcr.2018.09.08

Abstract

Structured reporting of lung cancer screening (LCS) results with low-dose computed tomography (LDCT) is necessary for appropriate follow-up and management of lung nodules. We describe processes for standardizing the reporting and tracking of screen-detected lung nodules by increasing documentation of Lung-RADS categorization of lung nodules. Our multidisciplinary team developed a project charter and key driver diagram, revised the radiology reporting template, and provided monthly audit reports to thoracic radiologists. Quarterly from Q1-2015 to Q2-2016, we measured the proportion of screening LDCT reports that included a documented Lung-RADS category. In Q1- and Q2-2015, no LDCT scans contained a Lung-RADS assessment. By the end of Q1-2016, 94% of screening LDCTs contained a Lung-RADS assessment with a recommended follow-up action. We developed systematic processes for lung nodule categorization, documentation, and tracking using Lung-RADS that improved structured reporting at one academic medical center.

Keywords: Lung neoplasms; early detection of cancer; quality improvement (QI); radiologists

Conflict of interest statement

Conflicts of Interest: M Pignone was a member of the US Preventive Services Task Force; the other authors have no conflicts of interest to declare.

References

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Publication Types

Grant support