EDITORIALS
Overdiagnosis in lung cancer: different perspectives, definitions, implications
Correspondence to:
Dr Peter B Bach, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA; bachp@mskcc.org
| The first 150 words of the full text of this article appear below. |
Does lung cancer screening lead to overdiagnosis? Most lung cancer prevention experts think it does, but there is a contingent who believe that it does not. This latter group holds fast to a notion that essentially all histological foci of lung cancer pose an imminent threat to health, irrespective of how they are discovered. Enter Dr Reichs interesting and thoughtful article,1 which provides a cohesive overview of the epidemiological data that would be explained by "overdiagnosis", and therefore the case for its existence (see page 377). Reich also considers the totality of studies that are oft cited as evidence that "overdiagnosis" does not exist. For these articles, he summarises their findings too, and raises his concerns about them. It is an important contribution, that clearly presents Reichs view that overdiagnosis is a serious concern in lung cancer screening. Because it also incorporates opposing evidence, it is a worthy
Relevant Article
- A critical appraisal of overdiagnosis: estimates of its magnitude and implications for lung cancer screening
- J M Reich
Thorax 2008 63: 377-383.[Abstract] [Full Text] [PDF]
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