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Balancing the Benefits and Harms of Low-Dose Computed Tomography Screening for Lung Cancer: Medicare's Options for CoverageBalancing the Benefits and Harms of Low-Dose CT Screening for Lung Cancer ONLINE FIRST

Renda Soylemez Wiener, MD, MPH
[+] Article and Author Information

This article was published online first at www.annals.org on 24 June 2014.


From Boston University School of Medicine, Boston, Massachusetts, and Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts.

Editor's Note: This online-first version will be replaced with a final version when it is included in the issue. The final version may differ in small ways.

Acknowledgment: The author thanks Peter B. Bach, MD, MAPP, of the Memorial Sloan Kettering Cancer Center and Michael K. Gould, MD, MSc, of Kaiser Permanente Southern California for graciously providing feedback on an early version of this manuscript.

Financial Support: By the National Cancer Institute (K07 CA138772) and the Department of Veterans Affairs.

Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1352.

Requests for Single Reprints: Renda Soylemez Wiener, MD, MPH, The Pulmonary Center, Boston University School of Medicine, 72 East Concord Street, R-304, Boston, MA 02118; e-mail, rwiener@bu.edu.

Author Contributions: Conception and design: R.S. Wiener.

Drafting of the article: R.S. Wiener.

Critical revision of the article for important intellectual content: R.S. Wiener.

Final approval of the article: R.S. Wiener.

Collection and assembly of data: R.S. Wiener.


Ann Intern Med. Published online 24 June 2014 doi:10.7326/M14-1352
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On 30 April 2014, the Medicare Evidence Development & Coverage Advisory Committee convened to weigh the evidence for low-dose computed tomography (LDCT) screening for lung cancer. Many were shocked by the outcome: a vote of low confidence about whether the benefits of LDCT screening would outweigh harms among Medicare beneficiaries in a community setting. This commentary discusses potential strategies to implement lung cancer screening with LDCT in a responsible manner that avoids overzealous screening.

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