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Computed Tomography Screening for Lung Cancer

Computed Tomography Screening for Lung Cancer CLINICAL CROSSROADS CLINICIAN’S CORNER CONFERENCES WITH PATIENTS AND DOCTORS Computed Tomography Screening for Lung Cancer Importance Low-dose computed tomography (CT) screen- Phillip M. Boiselle, MD, Discussant ing was shown to reduce lung cancer–specific mortality in a large randomized trial of a high-risk population. The decision to pur- DR TESS: Ms L is a 64-year-old woman considering screen- sue CT screening for lung cancer is a timely question raised by ing for lung cancer. She began smoking 1 to 2 cigarettes a individuals at risk of lung cancer and by their health care prac- day at age 12 years. She eventually accumulated 30 pack- titioners. years of smoking before successfully quitting when her fa- Objectives To discuss the evidence for use of chest x-rays and ther was diagnosed as having lung cancer in 1990. In 2003, low-dose CT in screening for lung cancer; to describe potential she enrolled in the National Lung Screening Trial (NLST) benefits, harms, and uncertainties of CT screening; and to re- and was randomized into the computed tomography (CT) view current guidelines for CT screening. screening group of the study. Her baseline CT scan in 2003 Evidence Review MEDLINE and the Cochrane Library were showed numerous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Computed Tomography Screening for Lung Cancer

JAMA , Volume 309 (11) – Mar 20, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2012.216988
pmid
23512063
Publisher site
See Article on Publisher Site

Abstract

CLINICAL CROSSROADS CLINICIAN’S CORNER CONFERENCES WITH PATIENTS AND DOCTORS Computed Tomography Screening for Lung Cancer Importance Low-dose computed tomography (CT) screen- Phillip M. Boiselle, MD, Discussant ing was shown to reduce lung cancer–specific mortality in a large randomized trial of a high-risk population. The decision to pur- DR TESS: Ms L is a 64-year-old woman considering screen- sue CT screening for lung cancer is a timely question raised by ing for lung cancer. She began smoking 1 to 2 cigarettes a individuals at risk of lung cancer and by their health care prac- day at age 12 years. She eventually accumulated 30 pack- titioners. years of smoking before successfully quitting when her fa- Objectives To discuss the evidence for use of chest x-rays and ther was diagnosed as having lung cancer in 1990. In 2003, low-dose CT in screening for lung cancer; to describe potential she enrolled in the National Lung Screening Trial (NLST) benefits, harms, and uncertainties of CT screening; and to re- and was randomized into the computed tomography (CT) view current guidelines for CT screening. screening group of the study. Her baseline CT scan in 2003 Evidence Review MEDLINE and the Cochrane Library were showed numerous

Journal

JAMAAmerican Medical Association

Published: Mar 20, 2013

References