Abstract

Low-dose computed tomography lung cancer screening has been demonstrated to substantially reduce lung cancer mortality. Lung cancer screening is most effective when applied to high-risk individuals. One approach to determining eligibility is based on categorical age/pack-years/quit-years, which has been exemplified by the United States Preventive Services Task Force (USPSTF2013) eligibility criteria: age 55-80 years, ≥30 pack-years smoked, and in former smokers quit ≤15 years. Many comparative studies have found that determining screening eligibility using a validated risk prediction model, such as the PLCOm2012, is more effective.

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