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Large study confirms value of CT lung cancer screening
Maybe this meta-analysis will finally convince the AAFP to put forward a guideline recommendation for population lung cancer screening.
One of the things this article got wrong was their 20% overdiagnosis estimate.
We already know that NLST at 11 year follow up shows excess lung cancers in the CT screening arm of only 1%.
Overdiagnosis is clearly defined as a cancer that will NEVER cause symptoms or kill. Looking at the data for excess cancers at 8 years has zero chance of identifying lung cancers that will NEVER cause symptoms or kill. -
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All cause mortality was not affected to a statistically significant amount.
Thats going to give people pause.
Perhaps smokers die of other causes first, or perhaps a larger cohort sample size is needed to demonstrate an all cause mortality decrease.-
Well, with that thought we should get rid of CT urograms and the work up and treatment of all renal cancers.
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^?
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