title: American Cancer Society lung cancer screening guidelines.
abstract: Findings from the National Cancer Institute's National Lung Screening Trial established that lung cancer mortality in specific high-risk groups can be reduced by annual screening with low-dose computed tomography. These findings indicate that the adoption of lung cancer screening could save many lives. Based on the results of the National Lung Screening Trial, the American Cancer Society is issuing an initial guideline for lung cancer screening. This guideline recommends that clinicians with access to high-volume, high-quality lung cancer screening and treatment centers should initiate a discussion about screening with apparently healthy patients aged 55 years to 74 years who have at least a 30-pack-year smoking history and who currently smoke or have quit within the past 15 years. A process of informed and shared decision-making with a clinician related to the potential benefits, limitations, and harms associated with screening for lung cancer with low-dose computed tomography should occur before any decision is made to initiate lung cancer screening. Smoking cessation counseling remains a high priority for clinical attention in discussions with current smokers, who should be informed of their continuing risk of lung cancer. Screening should not be viewed as an alternative to smoking cessation.
authors: Department of Family and Community Medicine, Thomas Jefferson University Medical College, Philadelphia, PA, USA.
authors: Richard
authors: R
authors: Wender
authors: Elizabeth T H
authors: ET
authors: Fontham
authors: Ermilo
authors: E
authors: Barrera
authors: Graham A
authors: GA
authors: Colditz
authors: Timothy R
authors: TR
authors: Church
authors: David S
authors: DS
authors: Ettinger
authors: Ruth
authors: R
authors: Etzioni
authors: Christopher R
authors: CR
authors: Flowers
authors: G Scott
authors: GS
authors: Gazelle
authors: Douglas K
authors: DK
authors: Kelsey
authors: Samuel J
authors: SJ
authors: LaMonte
authors: James S
authors: JS
authors: Michaelson
authors: Kevin C
authors: KC
authors: Oeffinger
authors: Ya-Chen Tina
authors: YC
authors: Shih
authors: Daniel C
authors: DC
authors: Sullivan
authors: William
authors: W
authors: Travis
authors: Louise
authors: L
authors: Walter
authors: Andrew M D
authors: AM
authors: Wolf
authors: Otis W
authors: OW
authors: Brawley
authors: Robert A
authors: RA
authors: Smith
mesh_terms: D000368:Aged; D000570:American Cancer Society; D055088:Early Detection of Cancer / Q000379:methods; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking; D016540:Smoking Cessation / Q000379:methods; D014057:Tomography, X-Ray Computed; D014481:United States