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

作者：Michael T. Jaklitsch, Francine L. Jacobson, John H. M. Austin, John K. Field, James R. Jett, Shaf H Keshavjee, Heber MacMahon, James L. Mulshine, Reginald F. Munden, Ravi Salgia, Gary M. Strauss, Steven Swanson, William David Travis, David J. Sugarbaker · 发表于：Journal of Thoracic and Cardiovascular Surgery · 年份：2012 · DOI：10.1016/j.jtcvs.2012.05.060 · 被引用次数：611 · 研究领域：Lung Cancer Diagnosis and Treatment、Lung Cancer Treatments and Mutations、Lung Cancer Research Studies

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.