Who participates in LDCT screening for the early detection of lung cancer after long-term occupational exposure to asbestos dust? Results of the analysis of administrative and medical routine data from the German Social Accident Insurance.
- 1Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- 2Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. [email protected].
Abstract
Background
Lung cancer is one of the most common cancers in Germany and is predominantly detected at an advanced stage. To ensure early detection, the German Social Accident Insurance (DGUV) offers lung cancer screening including a low-dose computed tomography (LDCT) for individuals with long-term occupational exposure to asbestos dust and a smoking history of at least 30 pack years. However, evidence remains scarce about what encourages this group of people to participate in LDCT screening after medical consultation.Methods
A secondary data analysis using routinely collected medical and administrative data between 2014 and 2024 was conducted in a cross-sectional design. This study aimed to investigate factors that could be used to predict the uptake of LDCT screening following a medical consultation. Exploratory logistic regression analysis was used to identify and assess possible predictors.Results
The sample included n = 14,491 individuals (97% male; average age 67 years; average asbestos dust exposure 21 years; average cigarette consumption 43 pack years). 74% of individuals underwent LDCT screening after medical consultation. 13 predictors were included in the regression model. The model demonstrated a low level of variance explanation (Nagelkerkes R² = 0.026). Younger individuals (OR: 0.96, p < 0.001), individuals with prolonged exposure to asbestos dust (OR: 1.01, p = 0.011) and with a history of pneumonia (OR: 1.16, p = 0.011) were more likely to undergo LDCT screening.Conclusion
The predictors showed only a low explanatory power. Further research should include non-participants and expand the exploratory model to include theoretically grounded predictors.
Related
- A retrospective epidemiological study of screening-derived solid cancer incidence proxy rates in South Korea before and after COVID-19 using Korean National Health Insurance Service data
- Developing an AI-Powered Occupational Health Surveillance System for Real-Time Detection and Management of Workplace Health Hazards
- Artificial intelligence in health insurance fraud detection: a global and regional systematic review
- Two-Phase Occupational Screening in Coal-Fired Power Plant Workers: Anamnestic Risk Stratification and Targeted Low-Dose CT Findings.
- ADAM20 Participates Modestly to Fertilization as Its Absence Leads to In Vitro Hypofertility in Mouse
BibTeX
@article{oubaid2026participates,
title = {{Who participates in LDCT screening for the early detection of lung cancer after long-term occupational exposure to asbestos dust? Results of the analysis of administrative and medical routine data from the German Social Accident Insurance.}},
author = {Nikolas Oubaid and Felix Greiner and Helena Keller and Martin Ansgar Horn and Alexandra Marita Preisser and Volker Harth},
journal = {BMC pulmonary medicine},
year = {2026},
month = oct,
doi = {10.1186/s12890-026-04780-4},
url = {https://europepmc.org/article/MED/42864641},
note = {CC BY},
}
RIS
TY - JOUR
TI - Who participates in LDCT screening for the early detection of lung cancer after long-term occupational exposure to asbestos dust? Results of the analysis of administrative and medical routine data from the German Social Accident Insurance.
AU - Nikolas Oubaid
AU - Felix Greiner
AU - Helena Keller
AU - Martin Ansgar Horn
AU - Alexandra Marita Preisser
AU - Volker Harth
PY - 2026
DA - 2026/10/12
JO - BMC pulmonary medicine
DO - 10.1186/s12890-026-04780-4
UR - https://europepmc.org/article/MED/42864641
AB - Background Lung cancer is one of the most common cancers in Germany and is predominantly detected at an advanced stage. To ensure early detection, the German Social Accident Insurance (DGUV) offers lung cancer screening including a low-dose computed tomography (LDCT) for individuals with long-term occupational exposure to asbestos dust and a smoking history of at least 30 pack years. However, evidence remains scarce about what encourages this group of people to participate in LDCT screening after medical consultation.Methods A secondary data analysis using routinely collected medical and administrative data between 2014 and 2024 was conducted in a cross-sectional design. This study aimed to investigate factors that could be used to predict the uptake of LDCT screening following a medical consultation. Exploratory logistic regression analysis was used to identify and assess possible predictors.Results The sample included n = 14,491 individuals (97% male; average age 67 years; average asbestos dust exposure 21 years; average cigarette consumption 43 pack years). 74% of individuals underwent LDCT screening after medical consultation. 13 predictors were included in the regression model. The model demonstrated a low level of variance explanation (Nagelkerkes R² = 0.026). Younger individuals (OR: 0.96, p < 0.001), individuals with prolonged exposure to asbestos dust (OR: 1.01, p = 0.011) and with a history of pneumonia (OR: 1.16, p = 0.011) were more likely to undergo LDCT screening.Conclusion The predictors showed only a low explanatory power. Further research should include non-participants and expand the exploratory model to include theoretically grounded predictors.
SN - 1471-2466
ER -