Evaluating Quality of Lung Cancer Screening Implementation

We propose to review the CT scans performed at community-based sites, which will provide sufficient statistical power to detect a 10% clinically significant discrepancy between the community radiologist recommendations and a subspecialty-trained thoracic radiologist. This will also allow us to detect and remediate any problems with scan performance and interpretation at KY LEADS sites, as well as evaluate the performance of the educational modules. Observed clinically significant discrepancies will prompt follow-up actions with community-based radiologist. Evaluating the quality of screening scans is a critical quality assurance measure not included in the KY LEADS study, which is limited to evaluation of programmatic implementation of evidence-based guidelines. Performing central review of scans will allow us to evaluate the quality of lung cancer screening, assuring the evaluability of the endpoint for the KY LEADS study to examine implementation of quality lung cancer screening in Kentucky.