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Which criteria do you follow to recommend low-dose CT screening in patients at high risk for lung cancer?

The recent NELSON trial evaluates screening in a slightly different population than the USPSTF/NLST criteria. Which will you follow?
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Which criteria do you follow to recommend low-dose CT screening in patients at high risk for lung cancer?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Cedars-Sinai Medical Center
Answered on

At this time, I still follow the USPSTF/NLST guidelines, but believe the criteria for screening should be updated to include more patients.

The current recommendations from the USPSTF based on the National Lung Screening Trial demonstrating an improvement in lung cancer and all cause mortality inclu...

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Mednet Member
Mednet Member
Medical Oncology · NYU Winthrop Hospital
Answered on

USPSTF have changed recommendations:-

50-80-20-15

Screening from age 50-80

20 Pack year:- Current Smokers or Left in last 15 Years.

Early Diagnosis:- 81% Men, 96% Women.

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