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January 10, 2001

Lung Cancer Screening—Reply

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2001;285(2):163-164. doi:10.1001/jama.285.2.163

In Reply: Dr Granat recognizes that the National Cancer Institute (NCI) and Czechoslovakian studies resulted in improved survival in patients who had surgery for lung cancer in the screened group compared with the control patients.1 But, in that era, many patients in the control group received an annual chest radiograph, which was the standard of care at that time, prior to the conclusion of these 4 studies. Improved survival, of course, is the goal of early identification and intervention, which is the standard applied to other cancers, including cancers of the breast, colon, and prostate. Granat wisely individualizes her approach to diagnostic testing.