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The importance of evidence-based lung cancer screening for non-smokers with a family history of the disease is highlighted in a recent article published in the 𝗝𝗼𝘂𝗿𝗻𝗮𝗹 𝗼𝗳 𝗧𝗵𝗼𝗿𝗮𝗰𝗶𝗰 𝗢𝗻𝗰𝗼𝗹𝗼𝗴𝘆. The article discusses the potential benefits and harms of screening low-risk individuals for lung cancer, particularly those who have never smoked but have a family history of the disease. It highlights several large-scale observational trials in Asia that have shown high lung cancer detection rates in light- or never-smokers with a family history, but questions the evidence of mortality reduction without 𝗿𝗮𝗻𝗱𝗼𝗺𝗶𝘇𝗲𝗱 𝗰𝗼𝗻𝘁𝗿𝗼𝗹𝗹𝗲𝗱 𝘁𝗿𝗶𝗮𝗹𝘀. The authors argue that screening low-risk populations may lead to substantial overdiagnosis, detecting cancers that may not progress to cause symptoms or death, thus exposing individuals to unnecessary harms. The article also compares different national and societal guidelines on lung cancer screening, emphasizing the need for high-quality implementation and consideration of individual risk factors. #lungcancer #clinicaltrials #oncology link to paper in the comments.
Screening Low-Risk Individuals for Lung Cancer: The Need May Be Present, but the Evidence of Benefit Is Not - Journal of Thoracic Oncology (jto.org)