Low-Dose Computed Tomography Screening for Lung Cancer
Authors: Laura S. Welch, David Madtes, Knut Ringen
Journal: Annals of Internal Medicine (2015)

Letters17 March 2015Low-Dose Computed Tomography Screening for Lung CancerLaura S. Welch, MD, David Madtes, MD, and Knut Ringen, DrPHLaura S. Welch, MDFrom CPWR: The Center for Construction Research and Training and the Division of Pulmonary and Critical Care Medicine, Silver Spring, Maryland, and University of Washington, Seattle, Washington.Search for more papers by this author, David Madtes, MDFrom CPWR: The Center for Construction Research and Training and the Division of Pulmonary and Critical Care Medicine, Silver Spring, Maryland, and University of Washington, Seattle, Washington.Search for more papers by this author, and Knut Ringen, DrPHFrom CPWR: The Center for Construction Research and Training and the Division of Pulmonary and Critical Care Medicine, Silver Spring, Maryland, and University of Washington, Seattle, Washington.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5065 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:As Wiener described, a Medicare advisory panel recommended against coverage of low-dose computed tomography (LDCT) for Medicare beneficiaries. Many professional organizations recommend LDCT provided that it is undertaken as a structured program in centers with considerable expertise in lung cancer care (1). Wiener suggests that the optimal way for the Centers for Medicare & Medicaid Services to proceed may be to offer coverage for LDCT screening only when performed by facilities that are certified as comprehensive, patient-centered programs.The Building Trades National Medical Screening Program uses a regionalized approach to lung cancer screening, linking local providers with ...References1. Humphrey LL, Deffebach M, Pappas M, Baumann C, Artis K, Mitchell JP, et al. Screening for lung cancer with low-dose computed tomography: a systematic review to update the U.S. Preventive Services Task Force recommendation. Ann Intern Med. 2013;159:411-20. [PMID: 23897166] doi:10.7326/0003-4819-159-6-201309170-00690 LinkGoogle Scholar2. National Comprehensive Cancer Network. Clinical Practice Guidelines in Oncology: Lung Cancer Screening. Version 1.2015. Fort Washington, PA: National Comprehensive Cancer Network; 2014. Google Scholar3. Dement JM, Ringen K, Welch LS, Bingham E, Quinn P. Mortality of older construction and craft workers employed at Department of Energy (DOE) nuclear sites. Am J Ind Med. 2009;52:671-82. [PMID: 19670258] doi:10.1002/ajim.20729 CrossrefMedlineGoogle Scholar4. Dement JM, Welch L, Ringen K, Bingham E, Quinn P. Airways obstruction among older construction and trade workers at Department of Energy nuclear sites. Am J Ind Med. 2010;53:224-40. [PMID: 20025074] doi:10.1002/ajim.20792 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From CPWR: The Center for Construction Research and Training and the Division of Pulmonary and Critical Care Medicine, Silver Spring, Maryland, and University of Washington, Seattle, Washington.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0557. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBalancing the Benefits and Harms of Low-Dose Computed Tomography Screening for Lung Cancer: Medicare's Options for Coverage Renda Soylemez Wiener Balancing the Benefits and Harms of Low-Dose Computed Tomography Screening for Lung Cancer: Medicare's Options for Coverage Renda Soylemez Wiener Low-Dose Computed Tomography Screening for Lung Cancer Renda Soylemez Wiener Low-Dose Computed Tomography Screening for Lung Cancer Renda Soylemez Wiener Metrics Cited byMortality of older construction and craft workers employed at department of energy nuclear sites: Follow‐up through 2016Change in prevalence of asbestos‐related disease among sheet metal workers 1986 to 2016 17 March 2015Volume 162, Issue 6Page: 459-460KeywordsCancer detection and diagnosisCancer screeningComputed axial tomographyDisclosureLung and intrathoracic tumorsMedicareSquamous cell carcinomaSurgeonsSurgical resection ePublished: 17 March 2015 Issue Published: 17 March 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...