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Lung Cancer Screening: Patient Selection and Implementation.

Nina A Thomas1, Nichole T Tanner2

  • 1Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, CSB Suite 816, MSC 630, Charleston, SC 29425, USA.

Clinics in Chest Medicine
|February 4, 2020
PubMed
Summary
This summary is machine-generated.

Lung cancer screening using low-dose CT is effective for high-risk individuals. Careful patient selection and multidisciplinary planning are crucial for successful lung cancer screening programs.

Keywords:
Implementation scienceLung cancerPatient selectionRisk predictionScreeningShared decision making

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Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • Lung cancer (LC) screening with low-dose computed tomography (LDCT) is recommended for high-risk populations.
  • Optimal benefit requires careful patient selection to minimize harm.

Purpose of the Study:

  • To review current guidelines and risk prediction models for lung cancer screening.
  • To outline essential components for implementing and maintaining effective screening programs.

Main Methods:

  • Analysis of existing professional society guidelines for lung cancer screening.
  • Review of risk prediction models incorporating patient-specific factors.
  • Identification of key components for program implementation.

Main Results:

  • Multiple professional societies provide screening recommendations.
  • Advanced risk models improve lung cancer risk prediction.
  • Successful programs necessitate comprehensive multidisciplinary planning.

Conclusions:

  • Judicious patient selection is paramount for lung cancer screening.
  • Multisociety guidelines emphasize 9 principal components for successful program implementation and maintenance.