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Correspondence
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Volume 356:743-747 February 15, 2007 Number 7
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CT Screening for Lung Cancer

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 by The International Early Lung Cancer Action Program Investigators
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To the Editor: The survival data from the International Early Lung Cancer Action Program (I-ELCAP) study of computed tomographic (CT) screening for lung cancer, as reported by Henschke et al. (Oct. 26 issue), are misleading.1 These estimates of survival are potentially confounded by lead-time and overdiagnosis biases of unknown magnitude and therefore defy meaningful interpretation. Although the authors claim to report 10-year lung-cancer–specific survival rates, the median follow-up was only 40 months, and less than 20% of the subjects were observed for more than 5 years. This time horizon is probably not sufficient to assess the behavior of screening-detected lung . . . [Full Text of this Article]


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