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Framing Discussions About CT Scan Screening for Lung Cancer So That Patients See the Whole PictureFraming Discussions About Lung Cancer Screening

Renda Soylemez Wiener, MD, MPH; Christopher G. Slatore, MD
Author and Funding Information

From the Pulmonary Center (Dr Wiener), Boston University School of Medicine; Center for Healthcare Organization & Implementation Research (Dr Wiener), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA; The Dartmouth Institute for Health Policy & Clinical Practice (Dr Wiener), Hanover, NH; Health Services Research & Development (Dr Slatore) and Section of Pulmonary & Critical Care Medicine (Dr Slatore), Portland VA Medical Center; and the Division of Pulmonary & Critical Care Medicine, Department of Medicine (Dr Slatore), Oregon Health & Science University.

Correspondence to: Renda Soylemez Wiener, MD, MPH, The Pulmonary Center, Boston University School of Medicine, 72 E Concord St, R-304, Boston, MA 02118; e-mail: rwiener@bu.edu


Funding/Support: Dr Wiener is supported by a National Cancer Institute career development award [K07 CA138772] and resources from the Edith Nourse Rogers Memorial VA Hospital, Bedford, MA. Dr Slatore is supported by a VA HSRD Career Development Award and resources from the Portland VA Medical Center, Portland, OR.

Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Wiener has received grant money from the National Cancer Institute and VA HSR&D QUERI. Dr Slatore has received grant money from the American Lung Association and VA HSRD CDP and a $1,000 honorarium from the National Lung Cancer Partnership.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(6):1749-1750. doi:10.1378/chest.13-1521
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Extract

Secretary Rumsfeld likely had something other than implementation of lung cancer screening in mind when he uttered these prophetic words. However, as demonstrated by recent controversies in breast and prostate cancer screening, patients, clinicians, health-care systems, and payers should consider his warning as we begin widespread implementation of low-dose CT scan screening for lung cancer. It is crucial to consider both the benefits and risks of screening if we are to develop a patient-centered approach.

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