Navigation Links
No Survival Benefit for CT Screening for Lung Cancer

The first report of an international study looking at computed tomography (CT) to screen current or former smokers for lung cancer found that screening did not reduce deaths from lung cancer.// Although CT screening found nearly three times as many lung cancers as predicted, the researchers found that early detection and treatment did not lead to a corresponding decrease in advanced lung cancers or a reduction in deaths from lung cancer. The multi-center study, led by researchers at Memorial Sloan-Kettering Cancer Center, found no advantage to using CT screening on current or former smokers -- the population at highest risk for developing lung cancer.

“Ours is the first study to ask whether detecting very small growths in the lung by CT is the same as intercepting cancers before they spread and become incurable. We found an answer and it was, ‘NO’," said Peter B. Bach, M.D., M.A.P.P., a lung physician and epidemiologist at Memorial Sloan-Kettering and the study’s first author. "Early detection and additional treatment did not save lives but did subject patients to invasive and possibly unnecessary treatments.”

Beginning in 1998, 3246 asymptomatic men and women with a median age of 60 who had smoked or still smoked for an average of 39 years were screened for lung cancer with state-of-the-art multi-detector CT at either the Mayo Clinic in Minnesota, the H. Lee Moffitt Cancer Center & Research Institute in Florida, or the Instituto Tumori in Italy. Each study provided an initial CT scan and then at least three subsequent annual exams. The researchers followed the volunteers to see how many had cancers detected by screening and how many had surgery to remove them. They then used government death records to follow the study participants for five years to see if they died of lung cancer. The researchers compared what they saw to what statistical models predicted would happen without screening. The models were developed for this purpose by Dr. Bach and Colin B. Begg, Ph.D., Chairman of the Department of Epidemiology and Biostatistics at Memorial Sloan-Kettering, and have been shown to be accurate in study populations like the ones analyzed.

Over the course of the studies, screening found more than three times as many lung cancers as the number that would have been diagnosed without screening, and there were ten times as many surgeries performed for lung cancer compared to what was expected. This meant that as a direct result of the test, an additional 99 people were diagnosed with lung cancer and an additional 98 had lung surgery. However, the early detection and treatment did not change the death rate. There were 38 deaths due to lung cancer, and 39 would have occurred without screening.

“The purpose of large-scale screening is to save lives, but after five years of follow-up, our data provides no evidence that CT screening prevented deaths from lung cancer,” said Dr. Begg, the paper’s senior author. “Our findings are consistent with the results of earlier studies of lung cancer screening with chest x-rays, which showed no benefit to this type of screening for current and former smokers.”

CT screening is not without risk. The radiation can become significant when the scans are repeated every year. Because the test is not very specific, it is known to have false positive results, which can lead to additional CT scans at full radiation doses and invasive procedures like lung biopsies. This study also suggests CT screening can lead to additional major surgeries to remove very small growths that look like lung cancer but do not pose a meaningful threat to the patient’s health.

“With lung cancer the number one cause of cancer deaths in the United States, the medical profession continues to seek an effective and safe approach to prevent deaths from this disease. According to our study, CT screening may not be it,” said Dr. Bach.

Source-Newwise
SRM
'"/>




Related medicine news :

1. Long-Term Survival can be Predicted by a Simple Lung Test
2. Hepatitis G May Boost HIV Survival
3. Survival rates in breast cancer patients improved with "Dose Dense Chemotherapy"
4. Longer Lung Cancer Survival
5. ICU Survival can be improved by Antibiotic use
6. Vasopressin Found To Boost Survival In Sudden Cardiac arrest
7. Improving Survival Rate Of Lung Cancer Patients
8. Combination Therapy Effective In Improving Lung Cancer Survival
9. Symptoms Found To Be A Good Predictor Of Cancer Survival
10. Survival Of Colon Cancer Patients
11. Public Defibrillators Found To Improve Survival Rate
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/25/2016)... ... ... "With 30 hand-drawn hand gesture animations, FCPX users can easily customize each ... Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures into hand ... select a ProHand generator and drag it above media or text in the Final ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... June 19, ... the dangers associated with chronic pain and the benefits of holistic treatments, Serenity ... who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
(Date:6/24/2016)... Norcross, Georgia (PRWEB) , ... June 24, 2016 ... ... Year” awards today at the Clinical Decision Making in Emergency Medicine conference in ... who have authored journal articles published in Emergency Medicine Practice and ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016 Roche (SIX: RO, ROG; ... for its Elecsys BRAHMS PCT (procalcitonin) assay as a ... septic shock. With this clearance, Roche is the first ... integrated solution for sepsis risk assessment and management. ... infection and PCT levels in blood can aid clinicians ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... 52" report to their offering. ... creates a favourable commercial environment for MedImmune to enter. The ... that will serve to drive considerable growth for effective anti-influenza ... to cap sales considerably, but development is still in its ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 If ... Leaders Scholarship is any indication, the future is in ... at www.diabetesscholars.org by the Diabetes Scholars Foundation ... the way of academic and community service excellence. ... since 2012, and continues to advocate for people with ...
Breaking Medicine Technology: