0
ARTICLE |

Detection of Lung Cancer

David M. Eddy, MD, PhD
JAMA. 1981;246(6):621. doi:10.1001/jama.1981.03320060025008.
Text Size: A A A
Published online

To the Editor.—  In their recent editorial, Fontana and Sanderson (1980; 244:592) questioned the American Cancer Society's (ACS) recent recommendation concerning the use of annual chest x-ray films to screen asymptomatic smokers for lung cancer. While the rationale for the Society's recommendation is described in detail elsewhere,1 Fontana and Sanderson raise several points that deserve specific responses.First, they state that "the chest roentgenogram is much more likely to disclose the presence of curable lung cancer than are symptoms or a physical examination." The ACS is aware that x-ray films can detect cancers in asymptomatic persons and that the cancers often appear to be detected in early stages. The Society is also aware, however, of the many biases that can cause an interpretation of staging information and case-survival rates to overestimate the effectiveness of a screening program. These include the lead-time bias, the length bias, patient-selection bias, and the possibility

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();