Boiselle and colleagues1 provide an alarming evaluation of current practices for lung cancer screening at leading academic medical centers.
First, there is no evidence that anyone is concerned about the implementation of a quality assurance program, which should be a prerequisite. Second, National Lung Screening Trial participants were better educated than the general US population, and the median cigarette exposure was 48 pack-years, far from the current practice criteria of “at least 20 pack-years.”2 These factors constitute a very slippery slope.
Braillon A. Current Practices for Lung Cancer ScreeningToo Slow or Too Fast?. JAMA Intern Med. 2015;175(2):317. doi:10.1001/jamainternmed.2014.6965