Incorporating Coexisting Chronic Illness into Decisions about Patient Selection for Lung Cancer Screening. An Official American Thoracic Society Research Statement.

American Journal of Respiratory and Critical Care Medicine
M Patricia RiveraAmerican Thoracic Society Assembly on Thoracic Oncology

Abstract

Lung cancer screening (LCS) has the potential to reduce the risk of lung cancer death in healthy individuals, but the impact of coexisting chronic illnesses on LCS outcomes has not been well defined. Consideration of the complex relationship between baseline risk of lung cancer, treatment-related harms, and risk of death from competing causes is crucial in determining the balance of benefits and harms of LCS. To summarize evidence, identify knowledge and research gaps, prioritize topics, and propose methods for future research on how best to incorporate comorbidities in making decisions regarding LCS. A multidisciplinary group of international clinicians and researchers reviewed available data on the effects of comorbidities on LCS outcomes, focusing on the juxtaposition of lung cancer risk and competing risks of death, consideration of benefits and risks in patients with chronic obstructive pulmonary disease, communication of risk, and treatment of screen-detected lung cancer. This statement identifies gaps in knowledge regarding how comorbidities and competing causes of death impact outcomes in LCS, and we have developed questions to help guide future research efforts to better inform patient selection, education, and impleme...Continue Reading

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Citations

Aug 23, 2019·Annals of the American Thoracic Society·A Cole BurksM Patricia Rivera
Oct 22, 2019·Annals of Internal Medicine·Li C CheungAnil K Chaturvedi
Jul 2, 2020·Annals of the American Thoracic Society·Gerard A Silvestri, Robert P Young
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Oct 2, 2020·American Journal of Respiratory and Critical Care Medicine·M Patricia RiveraMelinda C Aldrich
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Feb 6, 2020·Clinics in Chest Medicine·A Cole Burks, Jason Akulian
Feb 14, 2021·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Louise M HendersonM Patricia Rivera
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Jul 17, 2021·Chest·Peter J MazzoneFrank C Detterbeck
May 4, 2021·Annals of the American Thoracic Society·Shailesh AdvaniDejana Braithwaite

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Methods Mentioned

BETA
biopsy
surgical resection

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