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 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: Mar 9, 2021
Publication Year:
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