[Low-dose screening for bronchopulmonary cancer: A general practitioner's perspective]

Area of Science:

• Oncology
• Public Health
• General Practice

Background:

• Lung cancer poses a significant public health challenge due to high mortality, often linked to delayed diagnosis.
• Low-dose thoracic CT screening has proven effective in reducing lung cancer mortality in major international studies.
• This study investigates the potential integration of lung cancer screening into primary care in France.

Purpose of the Study:

• To explore the application and feasibility of low-dose thoracic CT screening for lung cancer.
• To examine the role of general practitioners (GPs) in implementing lung cancer screening programs.
• To learn from international experiences to inform potential national screening strategies in France.

Main Methods:

• A systematic review of international literature on lung cancer screening programs was conducted.
• Analysis focused on the involvement of general practitioners in patient identification, referral, and follow-up.
• Consideration was given to varying eligibility criteria, integrated smoking cessation strategies, and organizational challenges.

Main Results:

• Several countries (USA, South Korea, Croatia, Poland, Czech Republic) have national lung cancer screening programs involving GPs.
• GPs are essential for patient selection based on risk scores and for post-screening follow-up.
• Key challenges include cost, false positive management, and patient psychological support, alongside the importance of smoking cessation.

Conclusions:

• France is currently in a pilot phase for lung cancer screening, with programs like IMPULSION assessing feasibility.
• Successful implementation requires coordinated efforts from GPs, health authorities, and stakeholders.
• Lessons from international programs are crucial for guiding the development of a national screening strategy in France.