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@ARTICLE{Blum:305372,
author = {T. G. Blum and J. Vogel-Claussen and H. Hoffmann and M.
Reck and V. Harth and A. Faron and I. Dänschel and S.
Andreas and A. Rupp and R. Kaaks$^*$ and G. Schmid-Bindert},
title = {{W}hite paper on identification, information, and
eligibility assessment of potential participants in lung
cancer screening in {G}ermany. [{W}hitepaper zu
{I}dentifikation, {I}nformation und {E}ignungsprüfung von
potenziellen {T}eilnehmern an der
{L}ungenkrebsfrüherkennung in {D}eutschland.]},
journal = {Pneumologie},
volume = {nn},
issn = {0934-8387},
address = {Stuttgart},
publisher = {Thieme},
reportid = {DKFZ-2025-02113},
pages = {nn},
year = {2025},
note = {epub},
abstract = {The nationwide introduction of lung cancer screening using
low-dose computed tomography (LDCT) is imminent in Germany.
In contrast to other cancer screening programs, lung cancer
screening follows a risk-based approach and specifically
targets heavy current and former smokers aged 50 to 75
years. Following several years of pilot phases and
regulatory preparation, the Federal Joint Committee (G-BA)
decided in June 2025 to include this program as a regular
benefit covered by statutory health insurance starting in
2026.Evidence from large international studies demonstrates
a significant reduction in lung cancer mortality of
approximately $20\%.$ However, there are also risks such as
overdiagnosis, unnecessary invasive procedures in
false-positive findings, secondary cancers due to radiation
exposure, and psychological burden.Key factors for program
success include the structured involvement of qualified
physicians in the identification, information, and
assessment of eligibility of potential participants.
Physicians in the fields of general medicine, occupational
medicine, and internal medicine have been authorized after
specific qualification, the latter of which includes
pulmonologists - who, while not explicitly mentioned, will
certainly have the closest contact with the high-risk
population of smokers. This white paper provides practical
information and materials for participating in lung cancer
screening. It highlights the importance of dedicated
interdisciplinary collaboration to detect as many lung
cancer patients as possible at an early and therefore
potentially curable stage.},
subtyp = {Review Article},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41086827},
doi = {10.1055/a-2697-6434},
url = {https://inrepo02.dkfz.de/record/305372},
}