Table 1.

Lung cancer screening trials published since 2016

TRIAL NAME, COUNTRYMEDIAN FOLLOW-UP, YSAMPLE SIZE, NCRITERIAINTERVENTIONLUNG CANCER MORTALITYALL-CAUSE MORTALITY
LDCT vs CXR
  • NLST,9,10 USA

12.353 454
  • Age 55-74 y

  • ≥ 30 pack-years smoking

  • ≤ 15 y since quitting

3 annual scans
  • RR = 0.80 (95% CI 0.73-0.93)

  • RR = 0.97 (95% CI 0.94-1.01)

LDCT vs no screening
  • NELSON,8 the Netherlands and Belgium

> 1013 195 men, 2594 women
  • Age 50-74 y

  • ≥ 15 cigarettes/d for ≥ 25 y or ≥ 10 cigarettes/d for ≥ 30 y

  • ≤ 10 y since quitting

4 scans (at 0, 1, 3, and 5.5 y)
  • RR = 0.76 for men

  • RR = 0.67 for women

NA
  • MILD,11 Italy

> 104099
  • Age 49-75 y

  • ≥ 20 pack-years smoking

  • ≤ 10 y since quitting

10 annual scans or 5 biennial scans
  • HR = 0.61 (95% CI 0.39-0.95)

  • HR = 0.80 (95% CI 0.62-1.03)

  • LUSI,12 Germany

8.84052
  • Age 50-69 y

  • ≥ 15 cigarettes/d for ≥ 25 y or ≥ 10 cigarettes/d for ≥30 y

  • ≤ 10 y since quitting

5 annual scans
  • HR = 0.74 (95% CI 0.46-1.19)

  • HR = 0.94 (95% CI 0.54-1.61) for men

  • HR = 0.31 (95% CI 0.10-0.96) for women

  • HR = 0.99 (95% CI 0.79-1.25)

  • CXR—chest x-ray, HR—hazard ratio, LDCT—low-dose computed tomography, LUSI—Lung Cancer Screening Intervention, MILD—Multicentric Italian Lung Detection, NA—not applicable, NELSON—Nederlands–Leuvens Longkanker Screenings Onderzoek, NLST—National Lung Screening Trial, RR—rate ratio, USA—United States of America.