The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study

R Broadbent, L Gorman, CJ Armitage, J Radford, K Linton

Research output: Contribution to journalArticlepeer-review


Background: Hodgkin lymphoma survivors (HLS) are at excess risk of lung cancer as a consequence of HL treatment. HLS without a heavy smoking history are currently unable to access lung cancer screening (LCS) programmes aimed at ever smokers, and there is an unmet need to develop a targeted LCS programme. In this study we prospectively explored HLS perspectives on a future LCS programme, including motivating factors and potential barriers to participation, with the aim of identifying ways to optimise uptake in a future programme. Methods: Semistructured telephone interviews were conducted with HLS, aged 18–80 and lymphoma-free for ≥5 years, selected from a clinical database (ADAPT). Participants provided informed consent. Data were analysed using inductive thematic analysis. Results: Despite awareness of other late effects, most participants were unaware of their excess risk of lung cancer. Most were willing to participate in a future LCS programme, citing the potential curability of early-stage lung cancer and reassurance as motivating factors, whilst prior experience of healthcare was a facilitator. Whilst the screening test (a low dose CT scan) was considered acceptable, radiation risk was a concern for some and travel and time off work were potential barriers to participation. Conclusions: Our results suggest that most HLS would participate in a future LCS programme, motivated by perceived benefits. Their feedback identified a need to develop educational materials addressing lung cancer risk and concerns about screening, including radiation risk. Such materials could be provided upon an invitation to LCS. Uptake in a future programme may be further optimized by offering flexible screening appointments close to home.

Original languageEnglish
Pages (from-to)116-124
Number of pages9
JournalHealth expectations : an international journal of public participation in health care and health policy
Issue number1
Early online date9 Nov 2021
Publication statusPublished - 1 Feb 2022


  • Hodgkin lymphoma
  • Attitudes
  • Benefits
  • Concerns
  • Lung cancer screening
  • Risk
  • benefits
  • lung cancer screening
  • attitudes
  • risk
  • concerns
  • Early Detection of Cancer
  • Humans
  • Middle Aged
  • Lung Neoplasms/diagnosis
  • Survivors
  • Young Adult
  • Mass Screening
  • Adolescent
  • Aged, 80 and over
  • Adult
  • Aged
  • Hodgkin Disease/diagnosis


Dive into the research topics of 'The perspectives of survivors of Hodgkin lymphoma on lung cancer screening: A qualitative study'. Together they form a unique fingerprint.

Cite this