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Comment & Response
February 2015

Current Practices for Lung Cancer Screening: Too Slow or Too Fast?

Author Affiliations
  • 1Public Health, Northern Hospital, Amiens, France
JAMA Intern Med. 2015;175(2):317. doi:10.1001/jamainternmed.2014.6965

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.

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