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J Tsai (2023)
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Lung Cancer Screening Offers and Low‑Dose Computed Tomography Completion Among Veterans Experiencing Homelessness KEY WORDS: cancer screening; lung cancer; veterans; homelessness J Gen Intern Med We used multivariable logistic regression to compara- DOI: 10.1007/s11606-025-09622-3 tively estimate the odds (VEH vs non-VEH) of being offered © This is a U.S. Government work and not under copyright protection LCS and for completing an LDCT, adjusting for age, sex, in the US; foreign copyright protection may apply 2025 race/ethnicity, smoking status, and VA site. This work was approved as quality improvement by the VA Bedford Insti- tutional Review Board. INTRODUCTION Among persons over age 45 with current or recent homeless- ness, cancer is the leading cause of death, with lung cancer RESULTS mortality twice that of the general population. Access to The cohort included 1,332 VEH (1.3%) and 102,973 (98.7%) primary care for homeless and formerly homeless popula- non-VEH. Among VEH, 230 (17.3%) were offered LCS and tions is increasingly robust, as a result of major program 122 (9.2% overall, 53% of those offered LCS) completed an investments for V eterans and for non-Veterans with experi- LDCT within 12 months. Among non-VEH, 13,401 (13.0%) ence of homelessness. Lung cancer screening (LCS) with
Journal of General Internal Medicine – Springer Journals
Published: May 20, 2025
Keywords: cancer screening; lung cancer; veterans; homelessness
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