PMID- 33947284
OWN - NLM
STAT- MEDLINE
DCOM- 20211115
LR  - 20211115
IS  - 1475-5793 (Electronic)
IS  - 0969-1413 (Linking)
VI  - 28
IP  - 4
DP  - 2021 Dec
TI  - Women screened for breast cancer are dying from lung cancer: An opportunity to 
      improve lung cancer screening in a mammography population.
PG  - 488-493
LID - 10.1177/09691413211013058 [doi]
AB  - OBJECTIVE: Lung cancer is the leading cancer killer in women, resulting in more 
      deaths than breast, cervical and ovarian cancer combined. Screening for lung 
      cancer has been shown to significantly reduce mortality, with some evidence that 
      women may have a greater benefit. This study demonstrates that a population of 
      women being screened for breast cancer may greatly benefit from screening for 
      lung cancer. METHODS: Data from 18,040 women who were screened for breast cancer 
      in 2015 at two imaging facilities that also performed lung screening were 
      reviewed. A natural language-processing algorithm followed by a manual chart 
      review identified women eligible for lung cancer screening by U.S. Preventive 
      Services Task Force (USPSTF) criteria. A chart review of these eligible women was 
      performed to determine subsequent enrollment in a lung screening program 
      (2016-2019), current screening eligibility, cancer diagnoses and cancer-related 
      outcomes. RESULTS: Natural language processing identified 685 women undergoing 
      screening mammography who were also potentially eligible for lung screening based 
      on age and smoking history. Manual chart review confirmed 251 were eligible under 
      USPSTF criteria. By June 2019, 63 (25%) had enrolled in lung screening, of which 
      three were diagnosed with screening-detected lung cancer resulting in zero 
      deaths. Of 188 not screened, seven were diagnosed with lung cancer resulting in 
      five deaths by study end. Four women received a diagnosis of breast cancer with 
      no deaths. CONCLUSION: Women screened for breast cancer are dying from lung 
      cancer. We must capitalize on reducing barriers to improve screening for lung 
      cancer among high-risk women.
FAU - Sandler, Kim L
AU  - Sandler KL
AUID- ORCID: 0000-0003-2989-248X
AD  - Department of Radiology and Radiological Sciences, Vanderbilt University Medical 
      Center, Nashville, TN, USA.
FAU - Haddad, Diane N
AU  - Haddad DN
AD  - Division of Surgical Sciences, Vanderbilt University Medical Center, Nashville, 
      TN, USA.
FAU - Paulson, Alexis B
AU  - Paulson AB
AD  - Department of Radiology and Radiological Sciences, Vanderbilt University Medical 
      Center, Nashville, TN, USA.
FAU - Osterman, Travis J
AU  - Osterman TJ
AD  - Department of Medicine, Division of Hematology/Oncology, Vanderbilt University 
      Medical Center, Nashville, TN, USA.
AD  - Department of Biomedical Informatics, Vanderbilt University Medical Center, 
      Nashville, TN, USA.
FAU - Scott, Carolyn C
AU  - Scott CC
AD  - Department of Radiology and Medical Imaging, University of Virginia, 
      Charlottesville, VA, USA.
FAU - Poulos, Eric A
AU  - Poulos EA
AD  - Department of Radiology and Radiological Sciences, Vanderbilt University Medical 
      Center, Nashville, TN, USA.
FAU - Deppen, Stephen A
AU  - Deppen SA
AD  - Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, 
      TN, USA.
AD  - Nashville, Tennessee Valley Healthcare System - Veterans Affairs, Nashville, TN, 
      USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210504
PL  - England
TA  - J Med Screen
JT  - Journal of medical screening
JID - 9433359
SB  - IM
MH  - *Breast Neoplasms/diagnosis
MH  - Early Detection of Cancer
MH  - Female
MH  - Humans
MH  - *Lung Neoplasms/diagnosis/epidemiology
MH  - Mammography
MH  - Mass Screening
OTO - NOTNLM
OT  - Cancer screening
OT  - lung cancer
OT  - mammography
OT  - women's health
EDAT- 2021/05/06 06:00
MHDA- 2021/11/16 06:00
CRDT- 2021/05/05 05:33
PHST- 2021/05/06 06:00 [pubmed]
PHST- 2021/11/16 06:00 [medline]
PHST- 2021/05/05 05:33 [entrez]
AID - 10.1177/09691413211013058 [doi]
PST - ppublish
SO  - J Med Screen. 2021 Dec;28(4):488-493. doi: 10.1177/09691413211013058. Epub 2021 
      May 4.