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Editorial
. 2020 May;18(3):196-201.
doi: 10.1370/afm.2541.

Lung Cancer Screening Guidelines Implementation in Primary Care: A Call to Action

Chyke A Doubeni  1   2 , John M Wilkinson  3 , Neil Korsen  4 , David E Midthun  5
Affiliations
Editorial

Lung Cancer Screening Guidelines Implementation in Primary Care: A Call to Action

Chyke A Doubeni et al. Ann Fam Med. 2020 May.

Erratum in

  • Correction.
    [No authors listed] [No authors listed] Ann Fam Med. 2020 Sep;18(5):389. doi: 10.1370/afm.2581. Ann Fam Med. 2020. PMID: 32928753 Free PMC article. No abstract available.
No abstract available

Keywords: Preventive Health Services; implementation science; implementation strategies; lung cancer screening; practice guidelines; primary health care.

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Figures

Figure 1
Figure 1
The lung cancer screening process (primary care physician vs subspecialty). CMS = Centers for Medicare and Medicaid Services; LDCT = low-dose helical computed tomography; Lung-RADS = Lung CT Screening Reporting & Data System; SDM = shared decision making. aEligibility for screening is defined primarily on age and smoking criteria, but some risk stratification approaches include other factors not in the US Preventive Service Task Force recommendations, such as radon and occupational exposures and family history. Age criteria vary across guidelines and CMS coverage guidance but is generally in the 50-80 years age group. Patients who are not healthy enough to undergo treatment should not be screened.
See this image and copyright information in PMC

References

    1. Doubeni CA, Fedewa SA, Levin TR, et al. Modifiable failures in the colorectal cancer screening process and their association with risk of death. Gastroenterology. 2019; 156(1): 63-74e66. - PMC - PubMed
    1. US Department of Health and Human Services The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. In: The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. Handy JR, Jr, Skokan M, Rauch E, et al. Results of lung cancer screening in the community. Ann Fam Med. 2020; 18(3): 243-249. - PMC - PubMed
    1. Rendle KA, Burnett-Hartman AN, Neslund-Dudas C, et al. evaluating lung cancer screening across diverse healthcare systems: a process model from the lung PROSPR consortium. Cancer Prev Res (Phila). 2020; 13(2): 129-136. - PMC - PubMed
    1. SEER Program SEER*Stat Database: Incidence - SEER 9 Regs Research Data, Nov 2018 Sub (1975-2016) <Katrina/Rita Population Adjustment> - Linked To County Attributes - Total U.S., 1969-2017 Counties, National Cancer Institute, DCCPS, Surveillance Research Program, released April 2019, based on the November 2018 submission. www.seer.cancer.gov.

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