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Editorial |

The Importance of Being Adaptable: Developing Guidelines for Lung Nodule Evaluation in Asia

Ching-Fei Chang, MD; Michael K. Gould, MD, FCCP
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: M. G. received research funding from PCORI to perform a pragmatic trial of strategies for pulmonary nodule evaluation. None declared (C-F. C).

aDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA

bDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA

CORRESPONDENCE TO: Michael K. Gould, MD, FCCP, Department of Research and Evaluation, Kaiser Permanente Southern California, 100 S Los Robles, Pasadena, CA 91101


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4):763-765. doi:10.1016/j.chest.2016.06.035
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More than 175 million years ago, Pangaea splintered and the continents drifted, carrying with them clusters of living organisms that would eventually develop into our myriad of current species. Like Darwin’s finches, the evolution of today’s human racial groups likely occurred as a result of both genetic inbreeding and local environmental selection pressures, such as differing climates, food resources, and endemic diseases. For this reason, it should come as no surprise that lung cancer can present and respond to therapy differently across diverse populations.

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