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Editorials |

To Screen or Not To Screen: A Volatile Issue in Lung Cancer

David Ost; Rakesh D. Shah; Daniel Fein; Alan M. Fein
Author and Funding Information

Affiliations: Manhasset, NY
 ,  Drs. Ost, Shah, D. Fein, and A. M. Fein are all associated with The Center for Pulmonary and Critical Care Medicine, North Shore—Long Island Jewish Health System.

Correspondence to: Alan M. Fein, MD, FCCP, Chief, The Center for Pulmonary & Critical Care Medicine, Department of Medicine, North Shore-Long Island Jewish Health System, North Shore University Hospital, 300 Community Dr, Manhasset, NY 11030; e-mail: afein@nshs.edu



Chest. 2003;123(6):1788-1792. doi:10.1378/chest.123.6.1788
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Whether at international medical forums, within the halls of local hospitals, in medical offices, or in the lay press, the debate over whether or not to screen for lung cancer continues, even though the public demands guidance and few problems frustrate physicians more than their inability to prevent deaths from the disease. Affecting close to 200,000 people annually in the United States, this devastating malignancy is the most common cause of cancer death worldwide. Previously considered an affliction of men, lung cancer is now the most common cause of death from cancer in women. Despite improvements in management, the mortality rate has continued to hover at > 85% at 5 years.1

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