Lung Cancer

Sep 1, 2018 Issue
Radon: A Leading Environmental Cause of Lung Cancer [Editorials]

Protracted exposure to radon is the leading environmental cause of cancer deaths in the United States. Family physicians play a key role in informing patients about the health risks.

Jul 15, 2017 Issue
High False-Positive Rate with Lung Cancer Screening [POEMs]

If you are thinking about adding lung cancer screening to your delivery of preventive care, be sure to prepare patients. They are likely to receive a positive result, most of the positive results will not be lung cancer, and one in four patients will require additional tracking (i.e., follow-up scans).

Mar 1, 2015 Issue
Lung Cancer Screening Is Cost-Effective, but Only If Done Correctly [POEMs]

The U.S. Preventive Services Task Force (USPSTF) gave lung cancer screening a B recommendation on the basis of the reductions in disease-specific mortality and all-cause mortality seen in the National Lung Screening Trial (NLST). The NLST does not consider cost or cost-effectiveness in its recommend...

Feb 15, 2015 Issue
Lung Cancer: Diagnosis, Treatment Principles, and Screening [Article]

Learn about the diagnostic approach to lung cancer, including initial imaging studies and the formal diagnostic evaluation. Treatment options and screening are also discussed.

Jul 15, 2014 Issue
Screening for Lung Cancer [Putting Prevention into Practice]

M.B., a woman with diabetes mellitus, presents to your office for an annual well visit. M.B. reports having smoked one and a half packs of cigarettes daily for 20 years. Her neighbor was recently diagnosed with lung cancer, and M.B. requests to be tested for lung cancer, too.

Jul 15, 2014 Issue
Screening for Lung Cancer: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends annual screening for lung cancer with low-dose computed tomography (CT) in adults 55 to 80 years of age who have a 30 pack-year smoking history and currently smoke or quit within the past 15 years.

Jul 15, 2014 Issue
One in Five Patients Overdiagnosed with Lung Cancer Screening [POEMs]

In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion regarding whether to screen.

Jul 15, 2014 Issue
Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? Yes: CT-Based Screening Is Complex but Worthwhile [Editorials: Controversies in Family Medicine]

When offered to the appropriate population in the appropriate context, CT-based lung cancer screening will reduce the number of deaths caused by this difficult disease.

Jul 15, 2014 Issue
Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? No: The USPSTF’s Recommendation for Lung Cancer Screening Is Overreaching [Editorials: Controversies in Family Medicine]

There is still considerable uncertainty about the true magnitude of benefit from annual lung cancer screening, as well as the financial and psychological costs; therefore, the scope of the recommendation should be limited to one of individualized, shared decision making.

Apr 1, 2014 Issue
Low-Dose CT Screening Decreases Mortality in Heavy Smokers [POEMs]

In patients with a significant (greater than 50 pack-year) history of smoking, yearly screening for lung cancer using low-dose computed tomography (CT) will extend their lives. A significant proportion of screened patients will have a false-positive finding or a finding not related to lung cancer.

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