{"id":304228,"date":"2025-11-24T18:10:15","date_gmt":"2025-11-24T18:10:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/304228\/"},"modified":"2025-11-24T18:10:15","modified_gmt":"2025-11-24T18:10:15","slug":"current-guidelines-failing-lung-cancer-patients-in-screening-eligibility","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/304228\/","title":{"rendered":"Current guidelines failing lung cancer patients in screening eligibility"},"content":{"rendered":"<p class=\"mb-4 text-lg md:leading-8 break-words\">Under current screening guidelines, almost two-thirds of Americans with lung cancer would not have qualified for the CT chest scans that could have spotted tumors early and extended their lives, new research shows.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The finding hits home for 38-year-old Carla Tapia, a mother of three from Beltsville, Maryland. She smoked a bit in her youth but had kicked the habit by 18.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Nevertheless, Tapia first developed respiratory symptoms in 2018, and was diagnosed with inoperable stage 4 lung cancer in 2020.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">After numerous chemotherapies failed, Tapia received a life-saving double-lung transplant at Northwestern Medicine in Chicago in 2024. She&#8217;s now attending college back at home in Maryland.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Tapia said it&#8217;s an ordeal timely screening might have prevented.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;I keep hearing stories about young people being diagnosed with lung cancer, and if we could expand the screening guidelines, I believe more lung cancers could be caught at earlier stages, and more lives would be saved,&#8221; she said in a Northwestern Medicine news release.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Current <a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/lung-cancer-screening\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:guidelines;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">guidelines<\/a> from the United States Preventive Services Task Force advise annual CT chest scans for adults ages 50 to 80 who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Study senior author <a href=\"https:\/\/www.nm.org\/doctors\/1003852419\/ankit-bharat-md\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Dr. Ankit Bharat;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Dr. Ankit Bharat<\/a> said those eligibility guidelines are too restrictive and miss many people still at risk for the leading cancer killer.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;We moved to universal age-based screening for breast and colon cancer with tremendous success, and we need to move to the same approach for lung cancer,&#8221; Bharat said in a Northwestern news release.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;Chest screening offers something unique &#8212; with one low-dose scan, we can assess lungs, heart and bones comprehensively. This baseline scan becomes invaluable for monitoring their health over time,&#8221; said Bharat. He is chief of thoracic surgery and executive director of the Northwestern Medicine Canning Thoracic Institute.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\"><a href=\"https:\/\/www.healthday.com\/a-to-z-health\/cancer\/lung-cancer-2665626923.html\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Lung cancer;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Lung cancer<\/a> can strike anyone, including people who only smoked a short amount of time and even never-smokers. And, as happened in Tapia&#8217;s case, nearly 80% of the time lung cancers are first diagnosed in an advanced stage.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The new study was published Thursday in<a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2841677?widget=personalizedcontent&amp;previousarticle=0\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:JAMA Network Open;elm:context_link;itc:0;sec:content-canvas\" class=\"link \"> JAMA Network Open<\/a>. It tracked nearly 1,000 consecutive patients whose lung cancers were treated at Northwestern Medicine.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Based on their history of smoking (including never-smokers), Bharat&#8217;s group estimated that only 35% would have been eligible under USPSTF guidelines to be referred to annual lung CT scanning.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Women and never-smokers made up a significant number of those who would have been excluded from eligibility for screening, the researchers said.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">They believe that moving to a universal screening approach &#8212; recommending lung screens for everyone ages 40 to 85 &#8212; could spot more tumors early, boost the cost-effectiveness of lung cancer care, and help level the playing field for disadvantaged Americans.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The researchers said a typical lung CT scan takes less than 10 seconds and doesn&#8217;t require any intravenous imaging dyes.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Bharat notes that the leftover effects of the COVID-19 pandemic could mean heightened risks of other lung illnesses among relatively young Americans.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;Nearly six years after the pandemic&#8217;s start, we&#8217;re seeing increasing numbers of patients with lung scarring and fibrosis from COVID-19, especially those who get reinfected with respiratory viruses,&#8221; he said. &#8220;The damage compounds with each infection. Early detection through comprehensive screening can help us intervene before these conditions progress to requiring [lung] transplantation.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Northwestern&#8217;s Lung Health Center created a list of patient types who might want to consider lung screening:<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">COVID-19 survivors who are having ongoing respiratory issues<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">People exposed to contaminants such as wildfire smoke, industrial pollution or high radon levels<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">People with family histories of lung disease or pulmonary fibrosis<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Those exposed to secondhand smoke, vaping or marijuana use<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Asian women and other demographics at elevated risk for lung conditions<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Anyone seeking baseline chest health assessment<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;We&#8217;re seeing younger patients with respiratory problems from vaping, environmental exposures and COVID-19 who would never qualify for traditional screening,&#8221; said study co-author <a href=\"https:\/\/www.nm.org\/doctors\/1326008186\/gr-scott-budinger-md\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Dr. Scott Budinger;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Dr. Scott Budinger<\/a>, chief of pulmonary and critical care at the Canning Thoracic Institute.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">A more inclusive approach to screening &#8220;allows us to catch interstitial lung disease, pulmonary fibrosis, lung cancer and other conditions years before they&#8217;d typically be diagnosed,&#8221; he said in the news release.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">More information<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">There&#8217;s more on <a href=\"https:\/\/www.cancer.org\/health-care-professionals\/american-cancer-society-prevention-early-detection-guidelines\/lung-cancer-screening-guidelines.html\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:lung cancer screening;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">lung cancer screening<\/a> at the American Cancer Society.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Copyright \u00a9 2025 HealthDay. All rights reserved.<\/p>\n<p><img alt=\"\" loading=\"lazy\" width=\"71\" height=\"22\" decoding=\"async\" data-nimg=\"1\" class=\"rounded-lg\" style=\"color:transparent\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2025\/08\/6cded3008b014d837d16c696f69f43ae.jpeg\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"Under current screening guidelines, almost two-thirds of Americans with lung cancer would not have qualified for the CT&hellip;\n","protected":false},"author":2,"featured_media":304229,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[136511,49,48,136509,31930,84,11557,136512,80809,136513,136510],"class_list":{"0":"post-304228","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-ankit-bharat","9":"tag-ca","10":"tag-canada","11":"tag-carla-tapia","12":"tag-colon-cancer","13":"tag-health","14":"tag-lung-cancer","15":"tag-lung-cancers","16":"tag-northwestern-medicine","17":"tag-respiratory-symptoms","18":"tag-screening-guidelines"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/304228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=304228"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/304228\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/304229"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=304228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=304228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=304228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}