[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.75.176. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 265
Citations 0
Letters
October 3, 2012

Computed Tomographic Screening for Lung Cancer

Author Affiliations
 

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Schools of Biological Science (Dr Young; roberty@adhb.govt.nz) and Health Sciences (Ms Hopkins), University of Auckland, Auckland, New Zealand; and Mayo Clinic, Rochester, Minnesota (Dr Midthun).

JAMA. 2012;308(13):1320-1321. doi:10.1001/2012.jama.11892

To the Editor: In the systematic review by Dr Bach and colleagues,1 the American Cancer Society, the American College of Chest Physicians, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network recommended that computed tomography (CT) for lung cancer screening be offered to those meeting National Lung Screening Trial (NLST) criteria. While evidence-based, these criteria limit screening to current or former smokers aged 55 to 74 years with a 30 pack-year or longer history. However, age and pack-years alone are not the best predictors of lung cancer risk.24 Patient selection for CT screening using these 2 criteria results in only a 1% annual detection rate for lung cancer,1 and less than 50% of all those who will develop lung cancer would be eligible for screening.3

First Page Preview View Large
First page PDF preview
First page PDF preview
×