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. Author manuscript; available in PMC: 2017 Feb 1.
Published in final edited form as: J Thorac Oncol. 2016 Feb;11(2):194–202. doi: 10.1016/j.jtho.2015.10.016

Table 2.

Comparative Benefit-to-harm and Cost-to-effectiveness of 11 Selected Items* among Three Programs: National Lung Screening Trial (NLST), U.S. Preventive Services Task Force (USPSTF), and the Our Study**

Setting of LDCT annual screening entry criteria and comparisons 1. Total CT Examinations, Including Screening, setting NLST at 100% as reference 2. Screening Detected Cases, setting NLST at 100% as reference 3. Reduction in Lung Cancer mortality in % 4. Total Cases Detected at an Early Stage, % 5. Average Screening Examinations per Person Screened, N 6. Screening Examinations per Lung Cancer Death Averted, N 7. Screening Examinations per Life-Year Gained, N 8. Average False-Positive Results per Person Screened, N 9. Over-diagnosis % of all cases 10. Over-diagnosis % of screening-detected cases 11.Radiation-Related Lung Cancer Deaths, N
NLST 100 100 12.3 48.4 13.8 577 49 3.2 2.7 8.7 24
USPSTF vs. NLST + 8.2 +19.7 +1.7 +2.1 +1.1 +3 +3 +0.4 +1.0 +1.2 +0
Our study* vs. NLST +29.0 +39.0 +3.5 +3.7 +3.1 +6 +5 +0.7 +1.6 +1.3 +1
Our study* vs. USPSTF +19.3 +16.1 +1.8 +1.6 +2.0 +3 +2 +0.5 +0.6 +0.1 +1
*

Derived and adapted from Tables 1-2 of de Koning et al, Annals of Internal Medicine, 2014.

**

Used a screening program most similar to A-55-80-30-25 in de Koning et al, Annals of Internal Medicine, 2014 (i.e., A-55-80-30-30):

Annual-Start Age (year)-Stop Age (year)-Pack-Years Smoked-Years since Quitting, which is also supported by our previous work (references 6 & 7).