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Implementing Lung Cancer Screening Using Low-Dose Computed Tomography: Recommendations From an Expert Panel.
Scott D Ramsey1, Jennifer L Malin2, Bernardo Goulart2
1University of Washington; Fred Hutchinson Cancer Research Center, Seattle, WA; Wellpoint, Santa Monica, CA; Lung Cancer Alliance, Washington, DC; University of Wisconsin School of Medicine and Public Health, Madison, WI; Lahey Hospital and Medical Center, Burlington, MA; Duke Clinical Research Institute, Durham, NC; and School of Medicine, Wharton School, and Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA sramsey@fhcrc.org.
Annual low-dose computed tomography (CT) lung cancer screening is recommended for high-risk individuals. This guidance helps efficiently implement effective CT lung cancer screening programs.
Area of Science:
- Pulmonology
- Radiology
- Public Health
Background:
- US Preventive Services Task Force recommends annual low-dose CT screening for lung cancer in individuals aged 55-80 with a 30-pack-year smoking history and recent smoking.
- Effective implementation of lung cancer screening programs requires practical guidance and expert consensus.
Framework:
- Multidisciplinary panel convened to address clinical and system issues for CT lung cancer screening implementation.
- Five key goals identified: accurate eligibility identification, accessible screening, appropriate follow-up, quality improvement, and smoking cessation support.
Implementation:
- Stakeholder-specific recommendations developed to achieve identified goals for CT lung cancer screening.
- Focus on practical guidance for efficient and effective program rollout.
Implications:
- Successful population-based lung cancer screening necessitates healthcare system-wide stakeholder involvement and coordination.
- Addressing data and infrastructural needs is crucial for effective screening program implementation.
