Online lung cancer screening assessments empower patients to learn about their risk for lung cancer and eligibility for screening. However, it is unknown whether these online assessments provide tailored recommendations that are consistent with national guidelines and include information to prepare patients for shared decision-making (SDM) consultations with their healthcare provider. In November 2019, we reviewed 71 NCI-Designated Cancer Center websites to identify US Preventive Services Task Force (USPSTF) guidelines for lung cancer screening eligibility and evidence-based features of shared decision-making (SDM). Only 11% of the websites included an online lung cancer screening assessment. Most assessments included tailored recommendations for screening eligibility based on USPSTF guidelines. Assessments designed to support SDM included both potential benefits and harms of undergoing lung cancer screening. Nearly all assessments directed adults to discuss the results with their healthcare provider and reinforced the importance of living a tobacco-free lifestyle. Online lung cancer screening assessments have the potential to put patients in control of knowledge about their lung cancer risk and screening eligibility. While nearly all assessments recommend patients to speak with their healthcare provider about their risk for lung cancer, patients may require more support to initiate and navigate SDM conversations with their providers.

在线肺癌筛查评估使患者能够了解他们患肺癌的风险和筛查资格。然而，尚不清楚这些在线评估是否提供符合国家指南的量身定制的建议，并包括为患者与其医疗保健提供者进行共享决策 (SDM) 咨询做好准备的信息。2019 年 11 月，我们审查了 71 个 NCI 指定的癌症中心网站，以确定美国预防服务工作组 (USPSTF) 关于肺癌筛查资格和共享决策 (SDM) 循证特征的指南。只有 11% 的网站包含在线肺癌筛查评估。大多数评估包括根据 USPSTF 指南定制的筛选资格建议。旨在支持 SDM 的评估包括接受肺癌筛查的潜在益处和危害。几乎所有的评估都指导成年人与他们的医疗保健提供者讨论结果，并强调过无烟生活方式的重要性。在线肺癌筛查评估有可能让患者掌握有关其肺癌风险和筛查资格的知识。虽然几乎所有的评估都建议患者与他们的医疗保健提供者讨论他们患肺癌的风险，但患者可能需要更多的支持来发起和导航与他们的提供者的 SDM 对话。几乎所有的评估都指导成年人与他们的医疗保健提供者讨论结果，并强调过无烟生活方式的重要性。在线肺癌筛查评估有可能让患者掌握有关其肺癌风险和筛查资格的知识。虽然几乎所有的评估都建议患者与他们的医疗保健提供者讨论他们患肺癌的风险，但患者可能需要更多的支持来发起和导航与他们的提供者的 SDM 对话。几乎所有的评估都指导成年人与他们的医疗保健提供者讨论结果，并强调过无烟生活方式的重要性。在线肺癌筛查评估有可能让患者掌握有关其肺癌风险和筛查资格的知识。虽然几乎所有的评估都建议患者与他们的医疗保健提供者讨论他们患肺癌的风险，但患者可能需要更多的支持来发起和导航与他们的提供者的 SDM 对话。