California has the third-lowest rate of new lung cancer cases in the country. But nearly a quarter of patients diagnosed with the disease receive no treatment.
“California has some uniqueness in how hard it is to see a doctor in lots of parts of the state,” Nieva said. “That’s incredibly important when it comes to getting things early on, like that persistent cough you’ve had for a few months.”hasn’t been updated in almost a decade. “It is inefficient and slow to improve,” Fenton Ambrose said. “You don’t even have a plan that lays out its goals for fighting lung cancer.
Numerous personal factors can also influence whether patients get screening and treatment, experts say. Some people may be reluctant to be tested for fear of learning they have a terrible disease — including medical problems unrelated to lung cancer that the exam might uncover. In addition, the stigma attached to lung cancer due to its link with smoking can contribute to a sense of fatalism in both patients and their doctors.
Dubinett favors rolling out screening programs throughout the state, especially in areas where health care access is spotty. Given the effectiveness of the exams and follow-up treatment if lung cancer is detected early, the state might well improve its five-yearSuch an initiative may fall to the state, with help from academic medical systems.Nieva noted that USC has begun an outreach program in South Los Angeles offering high-risk patients free rides to Keck Hospital for screening.
“This should be getting done everywhere, and at a 100% rate,” he said. The fact that it’s not is “a real indictment of our health care system.”
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