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. 2015 Jun;4(3):275–286. doi: 10.3978/j.issn.2218-6751.2015.02.05

Table 1. Summary of previously published randomized clinical trials on low-dose computed tomography screening for lung cancer.

Trial name Group (LDCT vs. control) Recruitment years N (LDCT vs. control) Sex (F/M) Eligibility criteria Tomogram thickness (mm) Screening intervals Screening duration Follow-up Outcomes Citations
NLST LDCT vs. CXR 2002-2004 26,722 vs. 26,732 41/59 Age: 55-74 y; current or former (<15 years since quitting) smokers (≥30 pack-years) 1-2.5 0, 1, 2 3 y 6.5 y Lung cancer specific mortality: reduction of 20.0% (95% CI, 6.8-26.7; P=0.004); all-cause mortality: reduction of 6.7% (95% CI, 1.2-13.6; P=0.02) (7,25)
DANTE LDCT vs. no screening 2001-2006 1,276 vs. 1,196 0/100 Age: 60-74 y; current or former smokers (≥20 pack-years) 5 0, 1, 2, 3, 4 5 y 2.8 y LDCT vs. control number (%); lung cancer specific mortality: 20 (1.6) vs. 20 (1.7); all-cause mortality: 46 (3.6) vs. 45 (3.8) (26,27)
DLCST LDCT vs. no screening 2004-2006 2,052 vs. 2,052 44/56 Age: 50-70 y; current or former smokers (≥20 pack-years) 3 or 1 0, 1, 2, 3, 4 5 y 4.8 y LDCT vs. control number (%); lung cancer specific mortality: 15 (0.7) vs. 11 (0.5); all-cause mortality: 61 (3.0) vs. 42 (2.1) (28,29)
MILD LDCT (annual or biennial) vs. observation 2005-2011 2,376 (1,190 annual, 1,186 biennial) vs. 1,723 34/66 Age: ≥49 y; current or former (quit <10 years ago) smokers (≥20 pack-years) 1-5 0, 1, 2, 3, 4 5 y 4.4 y LDCT vs. control lung cancer specific mortality: HR =1.64 (95% CI, 0.67-4.01; P=0.21);
all-cause mortality: HR =1.40 (95% CI, 0.82-2.38; P=0.13).
(30)

LDCT, low-dose computed tomography; F, female; M, male; y, years; CI, confidence interval; HR, hazard ratio; NLST, National Lung Screening Trial; DANTE, Detection and Screening of Early Lung Cancer by Novel Imaging Technology and Molecular Essays; DLCST, Danish Lung Cancer Screening Trial; MILD, Multicentric Italian Lung Detection.