Insufficient evidence for low-dose CT lung CA screening

January 22, 2014
AAFP: insufficient evidence for low-dose CT lung CA screening

(HealthDay)—In contrast to a recommendation from the U.S. Preventive Services Task Force (USPSTF), the American Academy of Family Physicians (AAFP) has concluded that there is currently insufficient evidence to recommend screening for lung cancer with low-dose computed tomography (CT) among high-risk individuals.

Researchers from the AAFP expressed concern with the USPSTF recommendation, which was mainly based on the National Lung Screening Trial (NLST). Doug Campos-Outcalt, M.D., M.P.A., the AAFP liaison to the USPSTF, noted that the results of the other three trials included in the review failed to show the same magnitude of benefit as the NLST.

Furthermore, the study only conducted annual screening three times, but recommended screening for as long as individuals meet the criteria. Another consideration is that patients should be alerted to the fact that, although the annual CT screening scans may be covered with no copays or cost-sharing, follow-up testing may not be covered. Consequently the AAFP recommends shared decision-making between the clinician and patient and discussion of benefits and potential harms of screening.

"People need to understand that their could be extended by this, but on the other hand, their life expectancy could be shortened by it," Campos-Outcalt said in a statement. "If they're currently smoking, a better thing to do by far is to stop smoking."

Explore further: USPSTF: Evidence lacking for cognitive impairment screening

More information: More Information

Related Stories

USPSTF: Evidence lacking for cognitive impairment screening

November 5, 2013
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to assess the balance of benefits and harms of cognitive impairment screening for older adults without signs or symptoms ...

Final recommendations on lung cancer screening

December 30, 2013
High-risk adults between the ages of 55 and 80 should receive annual lung cancer screening with low-dose computed tomography, according to final recommendations from the U.S. Preventive Services Task Force being published ...

USPSTF updates recommendations on youth blood pressure screening

October 7, 2013
The United States Preventive Services Task Force (USPSTF) found insufficient evidence to recommend for or against routine screening for primary hypertension in asymptomatic children and adolescents. Hypertension in children ...

USPSTF: evidence lacking for ankle brachial index screening

September 3, 2013
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of use of the ankle-brachial index (ABI) for screening for peripheral ...

American Cancer Society recommends informed decision making in lung cancer screening

January 11, 2013
New guidelines from the American Cancer Society say evidence is sufficient to recommend screening high risk patients for lung cancer with low-dose computed tomography (CT) provided that certain conditions exist:

USPSTF identifies high priority evidence gaps for older adults

November 20, 2013
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has produced their third annual report for Congress identifying high-priority evidence gaps specifically relating to the care of older adults.

Recommended for you

Boosting cancer therapy with cross-dressed immune cells

January 22, 2018
Researchers at EPFL have created artificial molecules that can help the immune system to recognize and attack cancer tumors. The study is published in Nature Methods.

Cancer patients who tell their life story find more peace, less depression

January 22, 2018
Fifteen years ago, University of Wisconsin–Madison researcher Meg Wise began interviewing cancer patients nearing the end of life about how they were living with their diagnosis. She was surprised to find that many asked ...

Workouts may boost life span after breast cancer

January 22, 2018
(HealthDay)—Longer survival after breast cancer may be as simple as staying fit, new research shows.

Single blood test screens for eight cancer types

January 18, 2018
Johns Hopkins Kimmel Cancer Center researchers developed a single blood test that screens for eight common cancer types and helps identify the location of the cancer.

Researchers find a way to 'starve' cancer

January 18, 2018
Researchers at Vanderbilt University Medical Center (VUMC) have demonstrated for the first time that it is possible to starve a tumor and stop its growth with a newly discovered small compound that blocks uptake of the vital ...

How cancer metastasis happens: Researchers reveal a key mechanism

January 18, 2018
Cancer metastasis, the migration of cells from a primary tumor to form distant tumors in the body, can be triggered by a chronic leakage of DNA within tumor cells, according to a team led by Weill Cornell Medicine and Memorial ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.