Lung  Cancer  Screening  with  Low-­‐‑Dose  CT

KAGMA  Korean  American  Health  Conference January  16,  2016

Christopher  Lee,  M.D. Associate  Professor  of  Radiology Thoracic  Imaging  and  Intervention

•  #1  cause  of  cancer  death •  Estimated  17,559  deaths  in  2015 •  Only  4th  most  common  cancer  (estimated  25,640  new  cases  in  2015)

•  3rd  most  common  cause  of  death  overall •  Only  trailing  cerebrovascular  and  heart  disease

Lung  cancer  in  Korea

Jung  et  al.  Cancer  Res  Treat  2015;47:142-­‐‑8

•  S.  Koreans  have  extremely  high  annual  consumption  of  cigare[es •  1958  cigare[es  (93  packs)  per  adult •  Nearly  half  of  adult  men  smoke

Lung  cancer  in  Korea

Lung  cancer  among  Korean  Americans

McCracken  et  al.  CA  Cancer  J  Clin  2007;57:190-­‐‑205

Lung  cancer  among  Korean  Americans

McCracken  et  al.  CA  Cancer  J  Clin  2007;57:190-­‐‑205

Lung  cancer  among  Korean  Americans

McCracken  et  al.  CA  Cancer  J  Clin  2007;57:190-­‐‑205

USPSTF  recommendation

h[p://www.uspreventiveservicestaskforce.org/uspstf13/lungcan/lungcansumm.pdf

CMS  coverage  decision

h[p://www.cms.gov/medicare-­‐‑coverage-­‐‑database/details/nca-­‐‑details.aspx?NCAId=274

•  State  health  insurance  marketplace  plans  mandated  by  Affordable  Care  Act  to  cover  screening  per  USPSTF  recommendations  (January  2015)

•  CMS  national  coverage  determination  (February  2015)

Current  screening  landscape