Preventing lung cancer mortality by computed tomography screening: The effect of risk-based versus U.S. preventive services task force eligibility criteria, 2005–2015
Menée à partir d'un modèle mathématique, cette étude analyse le rapport coût-efficacité d'un programme de dépistage du cancer du poumon par tomographie numérique à faible dose de rayonnements chez les fumeurs et anciens fumeurs présentant un risque élevé de décès par cancer du poumon
Background: The U.S. Preventive Services Task Force (USPSTF) recommends annual low-dose computed tomography (CT) lung cancer screening for persons aged 55 to 80 years who currently smoke or quit within the past 15 years and have at least a 30–pack-year history of cigarette smoking (1). The number of U.S. persons meeting USPSTF criteria for CT screening sharply decreased between 2010 and 2015 (2). However, these criteria may exclude smokers at high risk for lung cancer who would have been selected for CT screening by individual risk calculators that more specifically account for demographic, clinical, and smoking characteristics (3).
Annals of Internal Medicine , commentaire, 2017