American Cancer Society lung cancer screening guidelines
| Autor: | Wender, Richard, Fontham, Elizabeth TH, Barrera, Ermilo, Colditz, Graham A, Church, Timothy R, Ettinger, David S, Etzioni, Ruth, Flowers, Christopher R, Gazelle, G Scott, Kelsey, Douglas K, LaMonte, Samuel J, Michaelson, James S, Oeffinger, Kevin C, Shih, Ya-Chen Tina, Sullivan, Daniel C, Travis, William, Walter, Louise, Wolf, Andrew MD, Brawley, Otis W, Smith, Robert A |
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| Rok vydání: | 2013 |
| Předmět: |
Lung Neoplasms
Clinical Trials and Supportive Activities Clinical Sciences randomized controlled trials as topic lung neoplasms Risk Assessment Risk Factors Clinical Research Tobacco lung cancer screening Humans Mass Screening Oncology & Carcinogenesis humans Tomography Lung Early Detection of Cancer Aged Cancer risk American Cancer Society Tobacco Smoke and Health Patient Selection Prevention Smoking Lung Cancer risk reduction behavior computed tomography Middle Aged Health Services mortality United States X-Ray Computed Good Health and Well Being x-ray radiation dosage Practice Guidelines as Topic Respiratory adverse effects Public Health and Health Services Biomedical Imaging Smoking Cessation radiography |
| Zdroj: | CA: a cancer journal for clinicians, vol 63, iss 2 |
| Popis: | Findings from the National Cancer Institute's National Lung Screening Trial established that lung cancer mortality in specific high-risk groups can be reduced by annual screening with low-dose computed tomography. These findings indicate that the adoption of lung cancer screening could save many lives. Based on the results of the National Lung Screening Trial, the American Cancer Society is issuing an initial guideline for lung cancer screening. This guideline recommends that clinicians with access to high-volume, high-quality lung cancer screening and treatment centers should initiate a discussion about screening with apparently healthy patients aged 55 years to 74 years who have at least a 30-pack-year smoking history and who currently smoke or have quit within the past 15 years. A process of informed and shared decision-making with a clinician related to the potential benefits, limitations, and harms associated with screening for lung cancer with low-dose computed tomography should occur before any decision is made to initiate lung cancer screening. Smoking cessation counseling remains a high priority for clinical attention in discussions with current smokers, who should be informed of their continuing risk of lung cancer. Screening should not be viewed as an alternative to smoking cessation. |
| Databáze: | OpenAIRE |
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