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The American College of Chest Physicians® (CHEST) recently released a new clinical guideline, Screening for Lung Cancer: CHEST Guideline and Expert Panel Report. The guideline contains 16 evidence-based recommendations and an update of the evidence base for the benefits, harms, and implementation of low-dose chest computed tomography (CT) screening.
Lung cancer is by far the leading cause of cancer death among both men and women, making up almost 25% of all cancer deaths. Evidence suggests that low-dose CT screening for lung cancer can reduce cancer-related deaths in the group that is screened. The new guidelines provide recommendations on the selection of screen-eligible individuals, the quality of imaging and image interpretation, the management of screen-detected findings and the effectiveness of smoking cessation interventions.
"The goal of these guidelines is to assist stakeholders with the development of high-quality screening programs and arm clinical providers with the information necessary to engage at-risk individuals in order to increase the number of screenings," says lead author Peter Mazzone MD MPH FCCP. "Outlined in the recommendations is who should be screened and what that screening process should look like from the clinical side. For an individual patient, these guidelines highlight the importance of education to foster informed, value-based decisions about whether to be screened."
Of the 16 recommendations, the guidelines presented in the report include the following:
The full list of recommendations can be found here.
One of the requirements for Medicare coverage of lung cancer screening is that a beneficiary has a lung cancer screening counseling and shared decision-making (SDM) visit. The goal of shared decision-making is to inform individuals about the tradeoffs of screening versus not screening and to help them make a choice that is aligned with their preferences and values. For training on shared decision-making, CHEST and Thomas Jefferson University offer a course dedicated to guiding patients through the decision to be screened for lung cancer. For more information on the course, visit the CHEST website.
Source: News Release
American College of Chest Physicians
July 14, 2021