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

Michael T. Jaklitsch, Francine L. Jacobson, John H M Austin, John K. Field, James R. Jett, Shaf Keshavjee, Heber MacMahon, James L. Mulshine, Reginald F. Munden, Ravi Salgia, Gary M. Strauss, Scott J. Swanson, William D. Travis, David J. Sugarbaker

Research output: Contribution to journalArticle

409 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)33-38
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume144
Issue number1
DOIs
StatePublished - Jul 2012

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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