Guideline Resources
Lung Cancer Screening in Asymptomatic Pts | USPSTF, ACCP, ACS, AATS, etc Guideline Synthesis
Key Points
Low-dose CT (LDCT) is widely accepted; don’t use CXR as screen. Age & risk level thresholds to start/end screening vary: Many recommend starting @ 55 yo in current/former smokers w/ ≥30 pk-yr hx, but USPSTF draft recommends starting earlier & @ lower smoking hx. Shared decision-making integral to pre-screen discussion on risk/harm balance. Screening doesn’t replace smoking cessation.
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Peer reviewed & based on multiple guidelines/recommendations from specialty societies/government agencies
Epocrates Guideline Synopsis Last Update: Oct 21, 2020
Publication Year:
2020
Source:
epocrates
Abbreviations
AATS American Association for Thoracic Surgery
ACCP American College of Chest Physicians
ACS American Cancer Society
ALA American Lung Association
CA cancer
COPD chronic obstructive pulmonary disease
CXR chest x-ray
D/C or d/c discontinue
FDA Food and Drug Administration
FEV1 forced expiratory volume in 1 second
FHx family history
NCCN National Comprehensive Cancer Network
pk-yr pack years (# packs per day x # years smoking)
USPSTF U.S. Preventive Services Task Force