This conference again addressed the two broad missions of these conferences-advancement
policy-relevant research on early diagnosis of lung cancer and translation of up-to-date
understandings into guidelines for practice based on the accumulated evidence of the
International Early Lung Cancer Action Program (I-ELCAP) consortium. Though different
entry criteria were used at each participating institution, the use of a common regimen
of screening allowed the data on about 27,000 participants with baseline and over
16,000 repeat screenings to be pooled. To date, these screenings have resulted in
more than 400 diagnosed cases of lung cancer. Almost all of the diagnosed cases have
been screen-rather than interim-diagnosed, over 80% had no identifiable lymph-node
involvement, and the median diameter has been 15 mm on the baseline screening and
less than 10 mm on repeat screenings. While the 10th Conference had focused on the
diagnostic distribution achieved under the screening regimen, the 11th Conference
focused on “overdiagnosis,” and on what can now be said to individuals asking their
physician for advice about CT screening for lung cancer. The 12th Conference will
focus on the overall results of I-ELCAP to date and also on corresponding Japanese
results outside of I-ELCAP.
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Publication history
Published online: May 26, 2005
Footnotes
☆The Eleventh International Conference on Screening for Lung Cancer was held in Rome, Italy, October 15–17, 2004. We are pleased to publish the Consensus Statement of the Conference and abstracts from the several distinguished oral presentations, whose authors agreed to have them published.
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© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
