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ESR/ERS statement paper on lung cancer screening.

Hans-Ulrich Kauczor1, Anne-Marie Baird2, Torsten Gerriet Blum3

  • 1Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, German Center of Lung Research, INF 110, 69120, Heidelberg, Germany. hans-ulrich.kauczor@med.uni-heidelberg.de.

European Radiology
|February 14, 2020
PubMed

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Summary

Implementing organized lung cancer screening (LCS) programs in Europe is crucial for early diagnosis and reducing mortality. Key elements include multidisciplinary teams, clear communication, and standardized protocols for high-risk individuals.

Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • Lung cancer is a leading cause of cancer death in Europe, necessitating improved early detection strategies.
  • Significant advancements and discussions in lung cancer screening (LCS) have emerged since the 2015 joint white paper.
  • Current LCS practices require updates to incorporate new evidence and address practical implementation challenges.

Purpose of the Study:

  • To provide an updated expert opinion on lung cancer screening (LCS) evidence and current European practices.
  • To highlight critical aspects for successful LCS implementation, including participant outreach and shared decision-making.
  • To emphasize the need for standardized infrastructure, quality assurance, and multidisciplinary team involvement.

Main Methods:

Keywords:
Carcinoma, bronchogenicCost-benefit analysisEarly detection of cancerLung neoplasmsTobacco use cessation

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  • A narrative, non-systematic review of evidence from LCS trials.
  • Description of the current practice of LCS in Europe.
  • Analysis of key considerations for LCS implementation, including communication, infrastructure, and quality assurance.
  • Main Results:

    • Effective LCS requires robust infrastructure, clear pathways, and quality assurance, including tobacco cessation support.
    • Multidisciplinary teams involving pulmonologists, radiologists, oncologists, surgeons, pathologists, and family doctors are essential.
    • Standardized algorithms for managing positive screen results and incidental findings are critical for effective LCS.

    Conclusions:

    • European health systems must adapt to support organized LCS pathways to reduce lung cancer mortality.
    • Demonstration programs are needed to focus on methodology, standardization, tobacco cessation, and cost-effectiveness.
    • Targeting high-risk populations using risk prediction models is key to the cost-effectiveness of LCS.