. Author manuscript; available in PMC: 2022 Jul 1.

Published in final edited form as: CA Cancer J Clin. 2021 May 20;71(4):299–314. doi: 10.3322/caac.21671

Table 5.

USPSTF Recommendation Updates and Remaining Gaps

	Current USPSTF eligibility recommendations	New proposed USPSTF recommendations	Possible Remaining Gaps after updated guidelines
Population	• Aged 55 to 80 years • 30 pack-year smoking history • Currently smoke or have quit smoking within the past 15 years.	• Aged 50 to 80 year • 20 pack-year smoking history • Currently smoke, or have quit smoking within the past 15 years	• Annangi found that 7.2% of Black NSCLC patients were less than 50 years of age compared to only 4.3% of White NSCLC patients; therefore, the new guidelines will still miss more Black vs White high-risk smokers.⁴⁵ • Lung cancer risk remains elevated after 15 yeas of cessation;^73–75 therefore, Black smokers who are more likely to have quit times of greater than 15 years may be excluded from LCS at higher rates secondary to this criteria .^47,72,94
Recommendation	• Annual screening for lung cancer with LDCT • Screening should be discontinued once a person has not smoked for 15 years.	• Annual screening for lung cancer with LDCT • Screening should be discontinued once a person has not smoked for 15 years.