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Development and Validation of a Multivariable Lung Cancer Risk Prediction Model That Includes Low-Dose Computed Tomography Screening Results
Author(s) -
Martin C. Tammemägi,
Kevin ten Haaf,
Iakovos Toumazis,
Chung Yin Kong,
Summer S. Han,
Jihyoun Jeon,
John Commins,
Thomas Riley,
Rafael Meza
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.0204
Subject(s) - national lung screening trial , medicine , lung cancer screening , logistic regression , lung cancer , odds ratio , computed tomography , radiology
Key Points Question In this study of data from the National Lung Screening Trial (NLST), can a lung cancer risk model’s prediction be improved by inclusion of lung cancer screening results? Findings In this secondary analysis of NLST data including 22 229 participants, a model incorporating a validated lung cancer risk prediction model, the PLCOm2012 model, with National Lung Screening Trial results (PLCO2012results) predicted future lung cancer significantly better than a model excluding results. Meaning The PLCO2012results model estimates may improve stratification of patients being screened for lung cancer into high- and low-risk strata and may help guide decision making regarding screening interval.

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