Preventing Lung Cancer Mortality by Computed Tomography Screening: The Effect of Risk-Based Versus U.S. Preventive Services Task Force Eligibility Criteria, 2005–2015
Authors: Li C. Cheung, Hormuzd A. Katki, Anil K. Chaturvedi, Ahmedin Jemal, Christine D. Berg
Journal: Annals of Internal Medicine (2018)

Letters6 February 2018Preventing Lung Cancer Mortality by Computed Tomography Screening: The Effect of Risk-Based Versus U.S. Preventive Services Task Force Eligibility Criteria, 2005–2015Li C. Cheung, PhD, Hormuzd A. Katki, PhD, Anil K. Chaturvedi, PhD, Ahmedin Jemal, PhD, and Christine D. Berg, MDLi C. Cheung, PhDNational Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland (L.C.C., H.A.K., A.K.C., C.D.B.), Hormuzd A. Katki, PhDNational Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland (L.C.C., H.A.K., A.K.C., C.D.B.), Anil K. Chaturvedi, PhDNational Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland (L.C.C., H.A.K., A.K.C., C.D.B.), Ahmedin Jemal, PhDAmerican Cancer Society, Atlanta, Georgia (A.J.), and Christine D. Berg, MDNational Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland (L.C.C., H.A.K., A.K.C., C.D.B.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-2067 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The U.S. Preventive Services Task Force (USPSTF) recommends annual low-dose computed tomography (CT) lung cancer screening for persons aged 55 to 80 years who currently smoke or quit within the past 15 years and have at least a 30–pack-year history of cigarette smoking (1). The number of U.S. persons meeting USPSTF criteria for CT screening sharply decreased between 2010 and 2015 (2). However, these criteria may exclude smokers at high risk for lung cancer who would have been selected for CT screening by individual risk calculators that more specifically account for demographic, clinical, and smoking characteristics (3).Objective: To ...References1. 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 Scholar2. Jemal A, Fedewa SA. Lung cancer screening with low-dose computed tomography in the United States—2010 to 2015. JAMA Oncol. 2017;3:1278-81. [PMID: 28152136] doi:10.1001/jamaoncol.2016.6416 CrossrefMedlineGoogle Scholar3. Katki HA, Kovalchik SA, Berg CD, Cheung LC, Chaturvedi AK. Development and validation of risk models to select ever-smokers for CT lung cancer screening. JAMA. 2016;315:2300-11. [PMID: 27179989] doi:10.1001/jama.2016.6255 CrossrefMedlineGoogle Scholar4. Lumley T. Analysis of complex survey samples. J Stat Softw. 2004;9:1-19. CrossrefGoogle Scholar5. Pinsky PF, Kramer BS. Lung cancer risk and demographic characteristics of current 20-29 pack-year smokers: implications for screening. J Natl Cancer Inst. 2015;107. [PMID: 26483244] doi:10.1093/jnci/djv226 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: National Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland (L.C.C., H.A.K., A.K.C., C.D.B.)American Cancer Society, Atlanta, Georgia (A.J.)Disclaimer: The National Institutes of Health had no role in the design and conduct of the study; collection, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.Financial Support: By the Intramural Research Program of the U.S. National Institutes of Health/National Cancer Institute.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2067.Reproducible Research Statement: Study protocol: Not available. Statistical code and data set: Available from Dr. Cheung (e-mail, li.[email protected]gov).This article was published at Annals.org on 2 January 2018. 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Caverly, MD, MPH, Pianpian Cao, MPH, Rodney A. Hayward, MD, and Rafael Meza, PhDRebuttal From Dr WoodLung cancer screening based on personal risk may save more livesModel-Based Eligibility for Lung Cancer Screening: Where Theory Meets PracticeAngela K. Green, MD, MSc and Peter Bach, MD, MAPP 6 February 2018Volume 168, Issue 3Page: 229-232KeywordsComputed axial tomographyDisclosureHealth surveysInterquartile rangeLung and intrathoracic tumorsLung cancer screeningMortalityRacial and ethnic issuesRisk assessmentsStatistical data ePublished: 2 January 2018 Issue Published: 6 February 2018 PDF downloadLoading ...