Pack-Year Smoking History: An Inadequate and Biased Measure to Determine Lung Cancer Screening Eligibility.
Alexandra L PotterNuo N XuPriyanka SenthilDeepti SrinivasanHang LeeG Scott GazelleLydia ChelalaQuan LongFlorian J FintelmannLecia V SequistJessica DoningtonJulie R PalmerChi-Fu Jeffrey YangPublished in: Journal of clinical oncology : official journal of the American Society of Clinical Oncology (2024)
Use of a 20-year smoking duration cutoff instead of a 20-pack-year cutoff greatly increases the proportion of patients with lung cancer who would qualify for screening and eliminates the racial disparity in screening eligibility between Black versus White individuals; smoking duration has the added benefit of being easier to calculate and being a more precise assessment of smoking exposure compared with pack-year smoking history.
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