TEST - Book of PDFs-01_Loiselle Chest2016PulmNoduleScreentoDxLoiselle09092016 CMS.pptx

01_Loiselle Chest2016PulmNoduleScreentoDxLoiselle09092016 CMS.pptx

Pdf Summary

This document discusses the topic of pulmonary nodules and their diagnosis. It begins by stating the session objectives, which include describing the evidence supporting lung cancer screening and identifying appropriate target populations for screening. The document then presents a case scenario involving a 65-year-old male with a history of smoking and intentional weight loss, and asks the reader to determine the pre-test probability of malignancy and provide a recommendation. It also mentions the National Lung Cancer Screening Trial, a prospective randomized trial that found a 20% reduction in lung cancer mortality with low-dose computed tomography (LDCT) screening. The trial also showed a higher false positive rate with LDCT compared to chest x-ray, but most false positives were managed with radiologic follow-up. The document concludes by mentioning the US Preventive Services Task Force's grade B recommendation for lung cancer screening in certain populations and the ACCP 2013 guidelines.

Keywords

pulmonary nodules

diagnosis

lung cancer screening

target populations

pre-test probability

National Lung Cancer Screening Trial

low-dose computed tomography

false positive rate

radiologic follow-up

US Preventive Services Task Force