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ANNOUNCEMENTS
Guidelines: Lung Cancer Screening Recommended for High-Risk Patients
The American Cancer Society has issued guidelines on lung cancer screening that are more detailed than other recent guidelines on the topic. Published in CA: A Cancer Journal for Clinicians, the recommendations call for clinicians to:
The American Cancer Society has issued guidelines on lung cancer screening that are more detailed than other recent guidelines on the topic. Published in CA: A Cancer Journal for Clinicians, the recommendations call for clinicians to:
- ensure access to a high-volume, high-quality lung cancer screening and treatment center;
- discuss screening using low-dose CT (not chest X-ray) with apparently healthy patients aged 55 to 74 who have a 30 pack-year or greater smoking history and who still smoke or quit within the previous 15 years. Screening is annual for 3 consecutive years;
- use clinical judgment for patients whose risk seems similar or greater;
- advise low-risk patients that screening is not recommended;
- discuss the potential benefits (e.g., reduced risk for lung cancer mortality), limitations (e.g., not detecting or successfully treating all cancers), and harms (e.g., false positives and variability in radiation exposure from different CT scanners);
- continue to emphasize smoking cessation;
- discuss whether insurance coverage is available and to what extent.
MORE GOOD NEWS ABOUT DAILY ASPIRIN.........IF YOU CAN TOLERATE IT.
Researchers at the University of Oxford found that after three years of daily aspirin use, the risk of developing cancer was reduced by almost 25 percent when compared with a control group not taking aspirin. After five years, the risk of dying of cancer was reduced by 37 percent among those taking aspirin.
A second paper that analyzed five large randomized controlled studies in Britain found that over six and a half years on average, daily aspirin use reduced the risk of metastatic cancer by 36 percent and the risk of adenocarcinomas — common solid cancers including colon, lung and prostate cancer — by 46 percent.
Daily aspirin use also reduced the risk of progressing to metastatic disease, particularly in patients with colorectal cancer, the studies reported.
RECENT ISSUES RELATED TO MEDICATIONS
- Adding Niaspan to a cholesterol lowering "statin" in an attempt to raise HDL (good cholesterol) levels has NOT been shown to add any benefit over the long term.
- People taking the two drugs, paroxetine (Paxil) and pravastatin (Pravachol) in combination, have been found to have an increased risk of developing diabetes.