• Daoyue Wang, Rui Shi, Lili Hu, Ran Chen, Jun Sun, Wei Huang, Hongyang Zhou, and Feng Rong.
• Department of Oncology, Lu'an Hospital of Anhui Medical University, No.21 of Wanxi Avenue, Lu'an, 237005, Anhui, China. Email: wazhl1996@163.com.
• Am J Manag Care. 2024 Jul 1; 30 (7): e198e202e198-e202.

ObjectiveTo analyze patient satisfaction with letter-based communication of lung cancer screening (LCS) pulmonary nodule results.Study DesignProspective randomized controlled trial of LCS between May and December 2019.MethodsAll participants came from a prospective randomized controlled study on pulmonary nodule results in LCS with low-dose CT (LDCT) to analyze patient satisfaction, perception of information received via letters, preferred methods of receiving results, and dissatisfaction-related characteristics.ResultsA total of 153 patients were detected to have pulmonary nodules among 600 recruited participants in the lung cancer high-risk group screened using LDCT. Most of the patients were satisfied with receiving pulmonary nodule results via letters (78.4%; n = 120) and agreed that the letters contained an appropriate amount of information (83.7%; n = 128). Univariate logistic regression analysis revealed that satisfaction was related to age (OR, 0.905; 95% CI, 0.832-0.985), education level (OR, 0.367; 95% CI, 0.041-3.250), no family history of cancer (OR, 0.100; 95% CI, 0.011-0.914), and the number of nodules (OR, 6.028; 95% CI, 1.641-22.141). Of the patients who reported dissatisfaction with letter-based communication (7.2%; n = 11), the most common reasons cited were that they contained insufficient patient education materials and that it was difficult to comprehend the medical terminology. The majority of participants (61.4%; n = 94) reported that they would prefer the letter-based communication. No correlation was identified between satisfaction and gender, smoking status, alcohol consumption, risk factors, nodule size, or nodule location.ConclusionsPatients were generally satisfied with receiving their LCS pulmonary nodule results via letters, reporting that the letters included adequate information about their diagnosis and follow-up steps. This may provide a basis for feasible result communication via letters for cancer screening programs in underdeveloped regions in China.

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