Premium
Minimizing over‐diagnosis in lung cancer screening
Author(s) -
Grannis Frederic W.
Publication year - 2013
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23400
Subject(s) - medicine , lung cancer , lung cancer screening , lung , cancer , intensive care medicine , radiology , oncology
Overestimation of the frequency and impact of over‐diagnosis bias in lung cancer screening has contributed to long delays in implementation of lung cancer screening programs. Literature review reveals little evidence of substantial numbers of over‐diagnosed non‐lethal lung cancer. There is now strong evidence that lung cancers that would not cause symptoms or kill during normal anticipated survival are uncommon and mostly limited to in situ adenocarcinomas, identifiable as CT non‐solid nodules. Prevention of overtreatment is possible within well‐constructed diagnostic algorithms. J. Surg. Oncol. 2013 108:289–293 . © 2013 Wiley Periodicals, Inc.