Thursday 28 May 2015

New Rules Mean Those at Lung Cancer Risk May Receive Annual Screening

Lung cancer, like many other forms of this often devastating disease, is generally easier for medical professionals to tackle when it is caught as early as possible. Early detection, however, has sometimes been hampered by a lack of access to more advanced screening procedures to find this disease in earlier stages. All of that is beginning to change.

Courtesy of studies that have demonstrated higher survival rates for patients whose cancer is found early, Medicare has announced that it will cover low-dose computed tomography (CT) screenings on an annual basis for some at-risk patients. While the rules may vary somewhat based on the specific insurance a person has, the door for better screening has been opened.

Understanding the ins and outs of the new rules is important not only for medical professionals, but also patients who may find themselves asked to report for yearly exams. Under the new rules, those at highest risk for lung cancer development will be provided access to CT screening exams.

Medicare defines higher risk patients as those who are current or former smokers age 55 to 77, and sometimes up to age 80. People eligible for yearly exams must have smoked what amounts to about a pack a day for 30 years or more. For those former smokers, they need to have quit within the previous 15 years to be considered eligible. It’s also important to note that eligible screening candidates should have no current respiratory symptoms.

The reason for the change in the rules is simple: CT scans can lead to more effective early interventions. The National Lung Screening Trial found that CT scans can reduce the mortality rate of heavy smokers by 20 percent by leading to faster, more effective interventions. The increase in effectiveness is compared to standard X-ray exams.

People who are at high risk for lung cancer are urged to talk with their medical professionals about reducing their risks. Depending on age and length of habit, more aggressive early screening options may be available.

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