Low-Dose Computed Tomography Screening for Lung Cancer
Authors: Renda Soylemez Wiener
Journal: Annals of Internal Medicine (2015)

Letters17 March 2015Low-Dose Computed Tomography Screening for Lung CancerRenda Soylemez Wiener, MD, MPHRenda Soylemez Wiener, MD, MPHFrom The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5065-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We congratulate Dr. Welch and colleagues on their work to develop a regional lung cancer screening center serving high-risk persons living in rural communities. In particular, we applaud the incorporation of a smoking cessation program, the use of predetermined criteria for LDCT screening eligibility and nodule evaluation, and the involvement of multiple disciplines in deciding how to evaluate screen-detected nodules. However, these elements are not in themselves sufficient for a comprehensive LDCT screening program. Guidelines for LDCT screening also recommend shared decision making about the benefits and harms of screening and the maintenance of a registry of persons ...References1. Detterbeck FC, Mazzone PJ, Naidich DP, Bach PB. Screening for lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143:e78S-92S. [PMID: 23649455] doi:10.1378/chest.12-2350 CrossrefMedlineGoogle Scholar2. Moyer VA; U.S. Preventive Services Task Force. Screening for lung cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160:330-8. [PMID: 24378917] doi:10.7326/M13-2771 LinkGoogle Scholar3. Centers for Medicare & Medicaid Services. Decision memo for screening for lung cancer with low dose computed tomography (LDCT) (CAG-00439N). 5 February 2015. Accessed at www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=274 on 6 February 2015. Google Scholar4. Mazzone P, Powell CA, Arenberg D, Bach P, Detterbeck F, Gould M, et al. Components necessary for high quality lung cancer screening: American College of Chest Physicians and American Thoracic Society policy statement. Chest. 2014. [PMID: 25356819] doi:10.1378/chest.14-2500 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Renda Soylemez Wiener, MD, MPHAffiliations: From The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1352. 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 Laura S. Welch , David Madtes , and Knut Ringen Low-Dose Computed Tomography Screening for Lung Cancer Laura S. Welch , David Madtes , and Knut Ringen Metrics Cited byUse of TBAg/PHA ratio in distinguishing tuberculoma from cancer in solitary pulmonary nodule or mass 17 March 2015Volume 162, Issue 6Page: 460KeywordsCancer screeningComputed axial tomographyDecision makingDisclosureLung and intrathoracic tumorsLung cancer screeningMedicareScreening guidelinesSmoking cessation ePublished: 17 March 2015 Issue Published: 17 March 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...