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In July 2013, the U.S. Preventive Services Task Force (USPSTF) issued a preliminary draft statement, recommending lung cancer screening with computed tomography (CT). As of now, the guideline is still in its review phase following public comment and has not yet been finalized (NEJM JW Gen Med Aug 8 2013); however, a final recommendation in favor of screening is a near certainty. Notably, in May 2013, the American College of Chest Physicians also published a guideline recommending CT screening (NEJM JW Gen Med May 22 2013).
The USPSTF guideline recommends annual screening with low-dose CT in older people (age range, 55–79) with smoking histories ≥30 pack-years; former smokers are eligible if they quit during the past 15 years. The impetus for…