06/28/2017

NCCN has published updates to the NCCN Guidelines for Lung Cancer Screening.

NCCN has published updates to the NCCN Guidelines for Lung Cancer Screening. These NCCN Guidelines are currently available as Version 1.2018. 

• Global edits
  • Symbols used in numerical ranges made consistent and based on rounding to whole numbers.

• Risk Status (LCS-1)
  • High risk; bullet 6 modified: "Additional risk factors (other than second-hand smoke) that increase the risk of lung cancer to ≥1.3% (see footnote i)"
  • Footnote i, third sentence modified: It is reasonable to consider using the Tammemägi lung cancer risk calculator to assist in quantifying risk for individuals in this group, considering a 1.3% threshold of lung cancer risk over a 6-year timeframe was considered similar to that of the USPSTF (Tammemägi MC, Church TR, Hocking WG, et al. Evaluation of the lung cancer risks at which to screen ever- and never-smokers: screening rules applied to the PLCO and NLST cohorts. PLOS Med 2014;11:1-13).

• Follow-up of Screening Findings (LCS-3)
  • Footnote r modified: "The evaluation for the suspicion of lung cancer requires a multidisciplinary approach with expertise in lung nodule management (thoracic radiology, pulmonary medicine, and thoracic surgery). This evaluation may include use of a lung nodule risk calculator to assist with probability determination. Examples of lung nodule risk calculators: Mayo risk model; Brock university model; model by Herder GJ, et al. Chest 2005;128:2490-2496. The use of risk calculators does not replace multidisciplinary nodule management. Geographic and other factors can substantially influence the accuracy of nodule calculators." (also applies to LCS-4, LCS-7, LCS-8)