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Title: Low rates of eligibility for lung cancer screening in patients undergoing computed tomography coronary angiography.
Austin Authors: Lyne, Christopher;Zaw, Shane;King, Bridget;See, Katharine;Manners, David;Al-Kaisey, Ahmed;Joshi, Subodh;Farouque, Omar ;Irving, Louis;Johnson, Douglas;Steinfort, Daniel
Affiliation: Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia
Midland Physician Service, St John of God Public and Private Hospital, Perth, Western Australia, Australia
Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia
Department of Cardiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
Department of General Medicine, Austin Health, Heidelberg, Victoria, Australia
Department of Respiratory Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia
Department of Respiratory Medicine, The Northern Hospital, Melbourne, Victoria, Australia
Issue Date: Oct-2018
Publication information: Internal Medicine Journal 2018; 48(10): 1265-1268
Abstract: Incidental findings, including pulmonary nodules, on computed tomography coronary angiography (CTCA) are common. Previous authors have suggested CTCA could allow opportunistic screening for lung cancer, though the lung cancer risk profile of this patient group has not previously been established. Smoking histories of 229 patients undergoing CTCA at two tertiary hospitals were reviewed and only 25% were current or former smokers aged 55-80 years old. Less than half of this group were eligible for screening based on the PLCOm2012 risk model. We conclude that routine screening in the form of full thoracic field imaging, of individuals undergoing CTCA is not appropriate as it would likely result in net harm.
DOI: 10.1111/imj.14061
ORCID: 0000-0001-9159-0971
PubMed URL: 30288901
Type: Journal Article
Subjects: National Lung Screening Trial
US Preventive Service Task Force
computed tomography coronary angiogram
lung cancer
lung cancer screening
Appears in Collections:Journal articles

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