KMID : 1039620120020030199
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Korean Journal of Family Practice 2012 Volume.2 No. 3 p.199 ~ p.206
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Lung Cancer Screening
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Lee Kyu-Wook
Sung Nak-Jin
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Abstract
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The National Lung Screening Trial, the first large randomized controlled trial using low-dose computed tomography (LDCT) showed that persons undergoing three annual screening examinations with LDCT had a 20% relative reduction in lung cancer mortality as compared with those screening with annual chest X-rays. Much discussion has been made on the practical application of study results in clinical practice or mass screening. The American Association for Thoracic Surgery (AATS) formed a task force for lung cancer screening and surveillance in the United States and Canada to translate the landmark work of the NLST into workable clinical guidelines for screening at-risk patients. AATS lung cancer screening guidelines, which advocate annual lung cancer screening with LDCT for high risk groups for lung cancer, were published in a peer-reviewed journal in July, 2012. As primary care physicians in Korea, we need to know the contents and context of AATS guidelines. Afterwards, in real practice, we should take Korean lung cancer epidemiology, medical environments, personal risk factors, and preferences of patients into consideration while advising patients to take the optimal screening for lung cancer.
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KEYWORD
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Lung Neoplasms, Mass Screening, Standards
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