CHEST 2023 On Demand Pass-The Peripheral Lung Nodule: Where Are We Now?

Video Transcription

Video Summary

Lung cancer screening with low-dose CT has been shown to reduce mortality, but there are still barriers that need to be addressed to improve screening rates and adherence to follow-up. The USPSTF recommends screening individuals aged 50 to 80 with a 20-pack-year smoking history or greater, and if they quit, quit within 15 years. However, there is uncertainty about the relevance of screening in the general population, as the benefits may be different in individuals with more comorbidities and competing causes of death. Socioeconomic factors also play a role in disparities in lung cancer screening, and it is important to address access to care. Currently, only 5.8% of eligible individuals are being screened in the US. Adherence to annual screening and follow-up after a positive CT is essential for maximizing the benefits of screening. Strategies to address these barriers include community outreach, telehealth, and mobile technologies, but a centralized lung cancer screening approach may be particularly effective. A centralized approach can improve rates of screening and adherence, and involves a multidisciplinary team to manage the screening process and make decisions regarding diagnostic procedures. In summary, lung cancer screening saves lives, but efforts are needed to overcome barriers and improve screening rates and adherence.

Meta Tag

Category Lung Cancer

Session ID 1163

Speaker Alexander Chen

Speaker M. Patricia Rivera

Speaker Anil Vachani

Speaker Momen Wahidi

Track Lung Cancer

Keywords

lung cancer screening

low-dose CT

mortality reduction

barriers

screening rates

follow-up adherence

USPSTF recommendations

comorbidities

socioeconomic factors