Simple Summary People with substance use disorders have extremely elevated rates of
smoking and, therefore, are a priority population for lung cancer screening. This paper
examines the lung cancer screening practices—determining patients' eligibility for lung
cancer screening and making referrals to screening—of Texas healthcare organizations that
provide services to people with substance use disorders. This work demonstrated that few
organizations are determining patients' eligibility and even fewer are making referrals. While …

For people at elevated risk for lung cancer, lung cancer screening (LCS) reduces lung
cancer mortality. People with non-nicotine substance use disorders (SUDs) have elevated
rates of smoking compared with the general population, highlighting them as a priority
population for LCS consideration. Although research has shown LCS is underutilized, there
is little literature to inform whether organizations that serve individuals with SUDs have
existing clinical protocols surrounding LCS. In the current study, we examine the LCS …