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Ann Thorac Med. 2018 Oct-Dec;13(4):198-204. doi: 10.4103/atm.ATM_147_18.

Saudi lung cancer prevention and screening guidelines.

Author information

1
Department of Oncology, Adult Medical Oncology, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
2
Department of Medicine, Pulmonary, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
3
Department of Medical Imaging, Chest Imaging, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
4
Alfaisal University, Riyadh, Saudi Arabia.
5
Department of Surgery, Thoracic Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
6
Department of Surgery, Thoracic Surgery, King Fahad Specialist Hospital, Dammam, KSA.
7
King Fahad Medical City, Family Medicine, Riyadh, Saudi Arabia.
8
National Cancer Center, Saudi Health Council, Saudi Arabia.
9
Department of Medicine, Pulmonary, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Abstract

BACKGROUND:

While lung cancer is the leading cancer cause of death, it is largely preventable. Furthermore, early diagnosis enhances the chance of cure. Therefore, we developed guidelines for lung cancer prevention and early detection.

METHODS:

A multidisciplinary team of experts in lung cancer representing different health-care sectors was assembled based on the National Cancer Center request and in coordination with the Saudi Lung Cancer Association of Saudi Thoracic Society. The team reviewed various reliable international guidelines and the data and experience in the Kingdom and formulated guidelines that address the primary and secondary prevention approaches in lung cancer, including tobacco control, early diagnosis, and lung cancer screening.

RESULTS:

The team developed guidelines to assist healthcare professionals in the Kingdom manage the different aspects of lung cancer prevention. Primary prevention through tobacco control: the recommendations encourage all healthcare professionals in all practice settings to screen their patients for smoking and to provide counseling and if needed referral to smoking cessation programs for current smokers. For early diagnosis of patients with symptoms suspicions of lung cancer, it is expected standard of care to investigate, work up, and refer the patients appropriately. Mass screening of patients at high risk for developing lung cancer: the recommendations listed the program requirements, eligible patients, and algorithm to manage findings. However, the team does not recommend that national screening program be mandated or implemented for lung cancer at this stage until more data and studies provide stronger evidence to justify adopting a national program.

CONCLUSIONS:

Physicians can play an important role in preventing lung cancer by tobacco control and also detect lung cancer at earlier presentation. However, national mass screening programs require further study.

KEYWORDS:

Guidelines; Saudi lung cancer; lung cancer; lung cancer guidelines; lung cancer prevention; lung cancer screening; prevention; screening

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