Medicine, Pediatrics, Perinatology and Child Health, Pulmonary and Respiratory Medicine, Oncology
1
Scopus Publications
Scopus Publications
Teleconsultation for Delivering Low-Dose Computed Tomography Reports in a Mobile Lung Cancer Screening Program in a Low- and Middle-Income Country: A Cross-Sectional Study Fabiana de Lima Vazquez, Ludmila Pereira Barbosa dos Santos Carvalho, Anna Luiza Silva Almeida Vicente, Welinton Hirai, Carolina Lourenço Conceição, Eduardo Caetano Albino da Silva, Flávio Augusto Ferreira da Silva, Alexandre Arthur Jacinto, Rachid Eduardo Noleto de Nobrega Oliveira, José Elias Miziara, André Luiz Pinto, Leticia Ferro Leal, Rodrigo Sampaio Chiarantano, Rui Manuel Reis Cancer Control, 2025 Introduction Lung cancer is the leading cause of cancer-related death. Screening for lung cancer using low dose computed tomography (LDCT) significantly reduces lung cancer mortality. However, their implementations must be cost-effective while also prioritizing inclusivity and equity. In this context, telemedicine has emerged as a strategy to reduce costs and enhance access to specialized healthcare. This study aims to describe a Brazilian experience with teleconsultation for delivering LDCT reports, its impact on smoking cessation counseling, and the factors influencing participants’ enrollment in the Barretos Cancer Hospital Lung Cancer Screening Program (BCH-LCSP). Methods This cross-sectional analysis was conducted within the BCH-LCSP cohort and describes the teleconsultation process implemented as part of the program. Differences in sociodemographic characteristics between participants who received LDCT results through in-person consultations vs teleconsultations were examined using t-test or chi-square test. Results Of 793 enrolled participants, 747 (94.2%) received reports via teleconsultation and 46 (5.8%) in person. Teleconsultations were more likely to be used by females (53%). Of the 793 participants, 559 were current smokers. Among those 559, 152 participated in the smoking cessation intervention for at least 1 year, and 26 (17.1%) of them successfully quit smoking. Participants’ motivations to enroll in the LCS included prevention, smoking-related concerns, as well as general health concerns, and desire to quit smoking. Conclusion Teleconsultation shows potential as a practical approach for LDCT delivery and smoking cessation counseling in Brazil, providing a scalable model that could improve access and equity in lung cancer screening programs in low and middle-income countries and globally.
RECENT SCHOLAR PUBLICATIONS
Use of telehealth to improve lung cancer screening program delivery of results LPB Dos Santos, FL Vazquez, LF Leal, JE Miziara, MWS Ferraz, ... European Respiratory Journal 62 (suppl 67) , 2023 2023.0
Endobronchial tuberculosis: characteristics and bronchoscopic findings in children LPB Dos Santos, LO Dias, PS Soares, CLT De Castro, RDA Facina, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Clinical-epidemiological study of lipoid pneumonia in infants PS Soares, LPB Dos Santos, LO Dias, RDA Facina, TFQ Dos Santos, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Lipoid pneumonia in infants: treatment with multiple bronchoalveolar lavages PS Soares, LPB Dos Santos, LO Dias, RDA Facina, TFQ Dos Santos, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Enfisema lobar congênito: tratamento conservador e seguimento em 13 anos. LPB dos Santos, CNRL Franco, LOD Prillwitz, SB de Oliveira Tinoco, ...
Congenital lobar emphysema: conservative treatment and 13-year follow-up LPB dos Santos, CNRL Franco, LOD Prillwitz, SB de Oliveira Tinoco, ...
MOST CITED SCHOLAR PUBLICATIONS
Use of telehealth to improve lung cancer screening program delivery of results LPB Dos Santos, FL Vazquez, LF Leal, JE Miziara, MWS Ferraz, ... European Respiratory Journal 62 (suppl 67) , 2023 2023.0
Endobronchial tuberculosis: characteristics and bronchoscopic findings in children LPB Dos Santos, LO Dias, PS Soares, CLT De Castro, RDA Facina, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Clinical-epidemiological study of lipoid pneumonia in infants PS Soares, LPB Dos Santos, LO Dias, RDA Facina, TFQ Dos Santos, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Lipoid pneumonia in infants: treatment with multiple bronchoalveolar lavages PS Soares, LPB Dos Santos, LO Dias, RDA Facina, TFQ Dos Santos, ... European Respiratory Journal 56 (suppl 64) , 2020 2020.0
Enfisema lobar congênito: tratamento conservador e seguimento em 13 anos. LPB dos Santos, CNRL Franco, LOD Prillwitz, SB de Oliveira Tinoco, ...
Congenital lobar emphysema: conservative treatment and 13-year follow-up LPB dos Santos, CNRL Franco, LOD Prillwitz, SB de Oliveira Tinoco, ...