![]() ![]() ![]() 1 These differences are likely related to differences in smoking exposure (ie, prevalence of smoking) and related exposure to carcinogens in cigarettes. 3 The USPSTF considers adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years to be at high risk and recommends screening for lung cancer with annual LDCT in this population.Īfrican American/Black (Black) men have a higher incidence of lung cancer than White men, and Black women have a lower incidence than White women. 3-5 The risk of lung cancer in persons who smoke increases with cumulative quantity and duration of smoking and with age but decreases with increasing time since quitting for persons who formerly smoked. Smoking and older age are the 2 most important risk factors for lung cancer. This recommendation applies to adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. This includes more details on the rationale of the recommendation, including benefits and harms supporting evidence and recommendations of others. Visit the USPSTF Web site to read the full recommendation statement. These recommendations are available at Where to read the full recommendation statement? The USPSTF has made recommendations on interventions to prevent the initiation of tobacco use in children and adolescents, and on behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women. What are other relevant USPSTF recommendations? If the person currently smokes, they should receive smoking cessation interventions.If a person decides to be screened, refer them for lung cancer screening with low-dose CT, ideally to a center with experience and expertise in lung cancer screening.The decision to undertake screening should involve a discussion of its potential benefits, limitations, and harms.Screen: If the person is aged 50 to 80 years and has a 20 pack-year or more smoking history, engage in shared decision-making about screening.One pack-year is the equivalent of smoking an average of 20 cigarettes-1 pack-per day for a year. A pack-year is a way of calculating how much a person has smoked in their lifetime.Assess risk based on age and pack-year smoking history: Is the person aged 50 to 80 years and have they accumulated 20 pack-years or more of smoking?.It expanded the age range to 50 to 80 years (previously 55 to 80 years), and reduced the pack-year history to 20 pack-years of smoking (previously 30 pack-years). ![]() The USPSTF has revised the recommended ages and pack-years for lung cancer screening. Stop screening once a person has not smoked for 15 years or has a health problem that limits life expectancy or the ability to have lung surgery.Īdults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.Screen for lung cancer with low-dose computed tomography (CT) every year.Adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years: ![]()
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