Lung cancer screening with low-dose computed tomography for primary care providers

Prim Care. 2014 Jun;41(2):307-30. doi: 10.1016/j.pop.2014.02.007. Epub 2014 Mar 26.

Abstract

This review provides an update on lung cancer screening with low-dose computed tomography (LDCT) and its implications for primary care providers. One of the unique features of lung cancer screening is the potential complexity in patient management if an LDCT scan reveals a small pulmonary nodule. Additional tests, consultation with multiple specialists, and follow-up evaluations may be needed to evaluate whether lung cancer is present. Primary care providers should know the resources available in their communities for lung cancer screening with LDCT and smoking cessation, and the key points to be addressed in informed and shared decision-making discussions with patients.

Keywords: Computed tomography; Lung neoplasms; Practice guidelines; Primary health care; Screening; Shared decision making; Smoking cessation.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Early Detection of Cancer / methods*
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / etiology
  • Occupational Exposure / adverse effects
  • Primary Health Care / organization & administration*
  • Radiation Dosage
  • Risk Factors
  • Smoking / adverse effects
  • Smoking Cessation
  • Tobacco Smoke Pollution / adverse effects
  • Tomography, X-Ray Computed

Substances

  • Tobacco Smoke Pollution