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Comment & Response |

Current Practices for Lung Cancer Screening Too Slow or Too Fast?

Alain Braillon, MD, PhD1
[+] Author Affiliations
1Public Health, Northern Hospital, Amiens, France
JAMA Intern Med. 2015;175(2):317. doi:10.1001/jamainternmed.2014.6965.
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Boiselle and colleagues1 provide an alarming evaluation of current practices for lung cancer screening at leading academic medical centers.

First, there is no evidence that anyone is concerned about the implementation of a quality assurance program, which should be a prerequisite. Second, National Lung Screening Trial participants were better educated than the general US population, and the median cigarette exposure was 48 pack-years, far from the current practice criteria of “at least 20 pack-years.”2 These factors constitute a very slippery slope.

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February 1, 2015
Phillip M. Boiselle, MD; James G. Ravenel, MD; Charles S. White, MD
1Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts2Department of Radiology, Harvard Medical School, Boston, Massachusetts
3Department of Radiology, Medical University of South Carolina, Charleston
4Department of Radiology, University of Maryland School of Medicine, Baltimore
JAMA Intern Med. 2015;175(2):317-318. doi:10.1001/jamainternmed.2014.6988.
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