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. Many recommend starting @ 50 yo in current/former smokers w/ ≥20 pk-yr hx, but ACCP also recommends screening asymptomatic pts not meeting age or smoking criteria who are projected to have a high net benefit from screening according to calculated thresholds. 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: Nov 14, 2023
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
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