North Carolina Medical Journal

Journal Information
ISSN / EISSN : 0029-2559 / 0029-2559
Published by: North Carolina Institute of Medicine (10.18043)
Total articles ≅ 7,869
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North Carolina Medical Journal, Volume 82, pp 309-310; https://doi.org/10.18043/ncm.82.5.309

Abstract:
As Dr. Sarah Taylor Morrow reaches her 100th year, her impact on health care in North Carolina and across the United States continues to be celebrated by those who worked with her and those who were inspired by her example.
Tina D. Tailor, Norma E. Farrow, Junheng Gao, Kingshuk R. Choudhury,
North Carolina Medical Journal, Volume 82, pp 321-326; https://doi.org/10.18043/ncm.82.5.321

Abstract:
BACKGROUND Low-dose chest CT (LDCT) is the only effective screening test for lung cancer. Annual lung cancer screening (LCS) is recommended by the US Preventive Services Task Force (USPSTF) for individuals at high risk for primary lung neoplasm. METHODS We retrospectively identified patients receiving LCS from January 2016 through March 2018 whose residential addresses were within our health center’s county. We estimated driving distance from the patient’s address to our health center and obtained sociodemographic characteristics from the electronic health record (EHR). The census-tract-level LCS-eligible population size was estimated, and their population characteristics determined via US Census Bureau, Centers for Disease Control and Prevention (CDC), and Behavioral Risk Factor Surveillance System (BRFSS) data. The Cochran-Mantel-Haenszel test was used to determine differences amongst the LCS-eligible and LCS-enrolled populations. Multivariable regression was used to determine the effects of sociodemographic characteristics on LCS eligibility. RESULTS There was modest correlation between census-tract-level LCS-eligible population size and LCS enrollment (r = 0.68, P< .001). 5.9% (364/6185) of the estimated LCS-eligible population in our county received LCS, with census-tract LCS rates ranging from 1.5% to 12.5%. Nonwhite race status (Hispanic and African American) was associated with decreased likelihood of LCS enrollment compared to White race (OR = 95% CI, 0.765 [0.61, 0.95] and 0.031 [0.008, 0.124], respectively). Older age, Medicaid, and uninsured statuses were positively correlated with LCS eligibility (P ≤ .01). LIMITATIONS This analysis comprises a single county. Other LCS facilities within our health system in neighboring counties, as well as individuals receiving LCS outside of our health system, are not captured. CONCLUSIONS The uptake of LCS remains low, with disproportionately lower screening rates amongst Hispanic and African American populations. Medicaid and uninsured patients in our community are also more likely to be LCS-eligible. These populations may be targets for interventions aimed at increasing LCS awareness and uptake.
Peter J. Morris
North Carolina Medical Journal, Volume 82, pp 328-328; https://doi.org/10.18043/ncm.82.5.328

Abstract:
It wasn’t so long ago we sang the praises of unsung heroes, our frontline and essential workers, as they fought a battle against an unseen enemy. That enemy has already killed more Americans than both World Wars combined, plus the Korean and Vietnam conflicts, and the Iranian and Afghan wars.
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