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Editorials |

Lung Cancer Screening: Who Will Pick Up the Tab?

Frederic W. Grannis, Jr, MD, FCCP
Author and Funding Information

Affiliations: Duarte, CA
 ,  Dr. Grannis is the Head of the Section of Thoracic Surgery, Department of General Oncologic Surgery, City of Hope National Medical Center.

Correspondence to: Frederic W. Grannis, Jr., MD, FCCP, Head, Section of Thoracic Surgery, Department of General Oncologic Surgery, City of Hope National Medical Center, 1500 E Duarte Rd, Duarte, CA 91010; e-mail: fgrannis@coh.org



Chest. 2002;121(5):1388-1390. doi:10.1378/chest.121.5.1388
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Extract

The recent Enron scandal illustrates how creative accounting practices can be used by self- interested parties to make ledger columns dance to favored music. One fact that all medical accountants can agree on is that mass screening for lung cancer (LC) using low-dose, noncontrast, spiral, CT scanning (LDCT) will be very, very expensive. Precisely how expensive, whether it will be worthwhile, and who will pay are matters of bitter contention. Widely variant estimates of cost and cost-effectiveness will be published in this and future issues of CHEST.

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