The American Association for Thoracic Surgery guidelines for lung cancer screening using low-dose computed tomography scans for lung cancer survivors and other high-risk groups.
Jaklitsch, Michael T. MD a,*; Jacobson, Francine L. MD, MPH a; Austin, John H.M. MD b; Field, John K. MA, PhD BDS, FRCPath c; Jett, James R. MD d; Keshavjee, Shaf MSc, FRCSC, MD e; MacMahon, Heber MB, BCh f; Mulshine, James L. MD g; Munden, Reginald F. MD, DMD, MBA h; Salgia, Ravi MD, PhD f; Strauss, Gary M. MD i; Swanson, Scott J. MD j; Travis, William D. MD k; Sugarbaker, David J. MD a
[Miscellaneous Article]
Journal of Thoracic & Cardiovascular Surgery.
144(1):33-38, July 2012.
(Format: HTML, PDF)
Objective: Lung cancer is the leading cause of cancer death in North America. Low-dose computed tomography screening can reduce lung cancer-specific mortality by 20%.
Method: The American Association for Thoracic Surgery created a multispecialty task force to create screening guidelines for groups at high risk of developing lung cancer and survivors of previous lung cancer.
Results: The American Association for Thoracic Surgery guidelines call for annual lung cancer screening with low-dose computed tomography screening for North Americans from age 55 to 79 years with a 30 pack-year history of smoking. Long-term lung cancer survivors should have annual low-dose computed tomography to detect second primary lung cancer until the age of 79 years. Annual low-dose computed tomography lung cancer screening should be offered starting at age 50 years with a 20 pack-year history if there is an additional cumulative risk of developing lung cancer of 5% or greater over the following 5 years. Lung cancer screening requires participation by a subspecialty-qualified team. The American Association for Thoracic Surgery will continue engagement with other specialty societies to refine future screening guidelines.
Conclusions: The American Association for Thoracic Surgery provides specific guidelines for lung cancer screening in North America.
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