U.S. Preventive Services Task Force*
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Requests for Single Reprints: Reprints are available from the USPSTF Web site (www.preventiveservices.ahrq.gov) and in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (800-358-9295).
This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for lung cancer and the supporting scientific evidence and updates the 1996 recommendations on this topic. In 1996, the USPSTF recommended against screening for lung cancer (a grade D recommendation). The Task Force now uses an explicit process in which the balance of benefits and harms is determined exclusively by the quality and magnitude of the evidence. As a result, current letter grades are based on different criteria than those used in 1996. The complete information on which this statement is based, including evidence tables and references, is available in the accompanying article in this issue and in the systematic evidence review on this topic, available through the USPSTF Web site (www.preventiveservices.ahrq.gov) and the National Guideline Clearinghouse (www.guideline.gov). The complete USPSTF recommendation statement (which includes a brief review of the supporting evidence) and the summary of the evidence are also available in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295; e-mail, firstname.lastname@example.org).
*For a list of the members of the U.S. Preventive Services Task Force, see the Appendix.
Appendix Table 1. U.S. Preventive Services Task Force Grades and Recommendations
Appendix Table 2. U.S. Preventive Services Task Force Strength of Overall Evidence
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Daniel K C Lee
Department of Thoracic Oncology, Papworth Hospital, Papworth Everard, Cambridge, CB3 8RE, England
August 23, 2006
10-minute consultation: Suspected lung cancer
A 60-year-old ex-smoker presents to your surgery with mild breathlessness and cough. These symptoms have persisted for about 4 weeks despite treatment with a penicillin antibiotic prescribed by one of your colleagues.
What you need to do
Clinical features requiring an urgent CXR
Any of the following unexplained symptoms or signs persisting more than three weeks
The CXR shows a solitary mass-like shadow in the lung and is reported by a radiologist as being suspicious of lung cancer.
What issues you should cover
Patients with a solitary lung shadow
What you should do
Management of patients with lung cancer: a national clinical guideline. Scottish Intercollegiate Guidelines Network 2005. http://www.sign.ac.uk/pdf/sign80.pdf
Lung cancer: the diagnosis and treatment of lung cancer. National Institute for Clinical Excellence 2005. http://www.nice.org.uk/pdf/CG024niceguideline.pdf
Lung cancer information centre. CancerBACUP 2005. http://www.cancerbacup.org.uk/cancertype/lung
Lung cancer online. Lung Cancer Online Foundation 2005. http://www.lungcanceronline.org
. Lung Cancer Screening: Recommendation Statement. Ann Intern Med. 2004;140:738–739. doi: 10.7326/0003-4819-140-9-200405040-00014
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Published: Ann Intern Med. 2004;140(9):738-739.
Cancer Screening/Prevention, Guidelines, Hematology/Oncology, Lung Cancer, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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