If all people who should be screened for lung cancer got screened, we can save tens of thousands of lives, and tens of millions of dollars. Lung cancer is so deadly because it is most often diagnosed at an advanced stage when treatment options are limited, and outcomes are poor.
The University of Kansas Cancer Center has partnered with more than 50 cancer organizations to issue a call to action urging individuals, providers and insurers to increase access to and utilization of low-dose computed tomography (CT) scans for those at high risk for lung cancer.
As the only National Cancer Institute-designated comprehensive cancer center in the region, it is KU Cancer Center’s duty to help those who are at increased risk of developing or dying from cancer. More than 1,300 Kansans will die of lung cancer this year.
“More people die of lung cancer each year than of colon, breast and prostate cancers combined,” said Roy Jensen, MD, vice chancellor and director of KU Cancer Center. “Low-dose CT scans are a quick and non-invasive approach to screen for lung cancer and save thousands of lives.”
The U.S. Preventive Services Task Force recommends annual screening for people ages 50-80 who have smoked for at least 20 years. However, only 5.7% of eligible Americans were screened for lung cancer before the COVID-19 pandemic — compared to screening rates for breast, cervical and colon cancers that hover between 60% and 80%. And we know screening rates have decreased for all cancers due to the pandemic.
“Early detection is key to reducing lung cancer deaths. We estimate as many as 60,000 lives could be saved each year if the 14.5 million Americans who are eligible received annual lung cancer screening. This would allow us to catch the disease early when curative treatment options are available,” said Jhanelle E. Gray, M.D., statement co-author and department chair and program leader of Thoracic Oncology at Moffitt Cancer Center in Tampa, Fla.
The new effort also aligns with and supports the national Cancer Moonshot initiative, which aims to reduce cancer deaths by 50% over the next 25 years. Lung cancer screening is one easy way to help reach that goal. This call to action provides guidance for national support, including public funding and health policy changes needed to significantly improve lung cancer screening participation.
“We have identified the barriers to lung cancer screening. Now, we need everyone to come together to overcome them. We need a national education and awareness campaign — not just to reach individuals who are eligible for screenings, but also the providers and health educators who should be recommending them,” said Mary Reid, Ph.D., MSPH, statement co-author and chief of Cancer Screening and Survivorship at Roswell Park Comprehensive Cancer Center in Buffalo, NY.
Two major barriers to screening are coverage and access. While low-dose CT screening for lung cancer is covered by Medicare and most private insurance plans, the pre-authorization process can delay the procedure by several days and place an unnecessary burden on community providers. Additionally, a recent study by the American Cancer Society found that at least 5% of those eligible for low-dose CT scans live more than 40 miles from a screening facility — and that percentage jumps to nearly 25% for screening-eligible individuals in rural areas.
Together, we have an unprecedented opportunity to drive down cancer deaths by taking advantage of a tool that is effective, noninvasive and inexpensive. We urge people to talk to their physicians about lung cancer screening or to take advantage of resources, such as the
American Lung Association’s screening eligibility quiz or GO2 Foundation for Lung Cancer state-by-state screening center directory.
About The University of Kansas Cancer Center:
The University of Kansas Cancer Center is transforming cancer research and clinical care by linking an innovative approach to drug discovery, delivery and development to a nationally accredited patient care program. Our consortium center includes cancer research and health care professionals associated with the University of Kansas Medical Center and The University of Kansas Health System; the University of Kansas, Lawrence; The Stowers Institute for Medical Research; Children’s Mercy; and in partnership with members of the Masonic Cancer Alliance