Table 1.
Variable | PLCO Cancer Screening Trial | NLST |
---|---|---|
Intervention group | Posteroanterior chest radiography in 77,445 persons | Low-dose CT in 26,722 persons |
| ||
Control group | Regular care in 77,456 persons | Posteroanterior chest radiography in 26,732 persons |
| ||
Total no. of participants | 154,901 | 53,454 |
| ||
No. of study sites | 10 centers | 33 centers |
| ||
Eligibility criteria | ||
Age | 55–74 yr | 55–74 yr |
Smoking status | Any | ≥30 pack-yr; quit time <15 yr before enrollment |
| ||
Exclusion criteria | History of prostate, lung, colorectal, or ovarian cancer; current cancer treatment; removal of one lung | Previous diagnosis of lung cancer; chest radiography within 1.5 yr before enrollment; hemoptysis, unexplained weight loss of >6.8 kg (15 lb) in the preceding yr |
| ||
Enrollment period | November 1993–July 2001 | August 2002–April 2004 |
| ||
Screening period | November 1993–November 2004 | August 2002–September 2007 |
| ||
Follow-up | To year 13 or December 31, 2009, whichever was earlier | To December 31, 2009 |
| ||
Screening schedule | Four screenings: at baseline, year 1, year 2, and year 3 (year 3 screening not given to persons who never smoked after April 1995) | Three screenings: at baseline, year 1, and year 2 |
| ||
Criteria for positivity (abnormal finding that raises clinical suspicion of lung cancer) | Nodule or mass, infiltrate, pleural mass, major atelectasis, noncalcified hilar or mediastinal lymphadenopathy, or major atelectasis12 | Noncalcified nodule >4 mm detected on CT, any noncalcified nodule or mass detected on chest radiography |
| ||
Lung-cancer classification | ICD-O-213 | ICD-O-314 |
| ||
References | Prorok et al.,7 Oken et al.,8 and Oken et al.9 | Aberle et al.,1 Aberle et al.,10 and Aberle et al.11 |
CT denotes computed tomography, ICD-O-2 International Classification of Diseases for Oncology, 2nd Edition, ICD-O-3 International Classification of Diseases for Oncology, 3rd Edition, NLST National Lung Screening Trial, and PLCO Prostate, Lung, Colorectal, and Ovarian.