Organizational LCS Eligibility Recommendations

 
Year
Age
Pack-Years
Quit
Other
AAFP1
2013
Ins. Ev.
Ins. Ev.
Ins. Ev.
None
AATS Tier 12
2012
55 - 79
≥ 30
No Limit
None
AATS Tier 22
2012
50-79
Over 20
No Limit
Cumulative 5% chance of developing lung cancer in next 5 years
AATS Tier 32
2012
Any
Any or None
No Limit
Personal History of Lung Cancer and 4 years NED
ACS3
2013
Over 50
≥ 30
≤ 15
“Relatively good health”
ACCP4
2017
55 - 77
≥ 30
≤ 15
None
ALA5
2017
55 - 80
≥ 30
≤ 15*
None
ASCO/ATS6
2015
55-74
≥ 30
≤ 15
None
CMS9
2015
55 - 77
≥ 30
≤ 15
None
NCCN Group 17
2017
55 - 74
≥ 30
≤ 15
None
NCCN Group 27
2017
Over 50
Over 20
No Limit
At least one additional lung cancer risk factor or at least 1.3% chance of lung cancer diagnosis within 6 years
USPSTF8
2014
55 - 80
≥ 30
≤ 15
None

AAFP = American Association of Family Physicians, AATS = American Association of Thoracic Surgery, ACS = American Cancer Society, ACCP = American College of Chest Physicians, ASCO = American Society of Clinical Oncology, ATS = American Thoracic Society, ALA = American Lung Association, CCO = Cancer Care Ontario, NCCN = National Comprehensive Cancer Network, USPSTF = United States Preventive Services Task Force, CMS = Center for Medicare and Medicaid Services

Year = year recommendation was published, Ins. Ev. = insufficient evidence to recommend for or against screening
Other = additional considerations for groups to screen beyond the core recommendation:
ALA – urges consideration of risk prediction, suggests standard criteria given insurance coverage,
* = not forced to exit screening after reaching 15 year quit mark