Yeol Kim
Lung cancer is a leading cause of cancer death worldwide.
The effectiveness of lung cancer targeted high-risk
population using low dose chest computed tomography has
been reported several randomized controlled trials. Thus,
recently, lung cancer screening to high-risk group is
recommended internationally. National Cancer
Center reported a lung cancer screening guideline by
evidence-based methods in 2015. Korean national lung
cancer screening program started from 2019 after evaluation
of Korean lung cancer screening demonstration project (K-
LUCAS) nationwide. K-LUCAS obtained comparable high
early lung cancer detection rate, lower false positive rate
and lower complication rate compared with clinical trials
conducted in other countries. Also psychological anxiety of
screening participants had been low, but willingness of
smoking cessation had been in- creased after screening.
This paper will review the evidence of lung cancer
screening from clinical trials, also, evaluate the benefits and
harms of screening based on K-LUCAS.
Korean J Health Promot 2019;19(4):161-165
Keywords: Lung cancer, Screening, Low-dose computed
tomography, False positive, Overdiagnosis |