#LCSM Transcript
Healthcare social media transcript of the #LCSM hashtag.
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See #LCSM Influencers/Analytics.
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![]() | NCI Cancer Stats @NCICancerStats Black men have the highest rates of lung and bronchus cancer. Learn more about this disease here: https://t.co/wDxSFyFxAa #LCSM https://t.co/QUdcZShk5o |
![]() | Brendon Stiles @BrendonStilesMD Welcome to #LCSM Chat! Our topic tonight is “Lung Cancer Screening: Never a Better Time Than Now” #lcsm |
![]() | Bonnie J. Addario @bonniejaddario Anyone #diagnosed w/ #lungcancer can help find a solution to this disease #TODAY by joining the #LungCancerRegistry ! It’s easy & PRIVATE --> https://t.co/7yxg03matT #LCSM #beatlungcancer #Oncology #beatcancer #oncology #lungcancerresearch #lungcancer #lungcancerawareness #hope https://t.co/lreltekg2R |
![]() | LungCancerFoundation @TheALCF Anyone #diagnosed w/ #lungcancer can help find a solution to this disease #TODAY by joining the #LungCancerRegistry ! It’s easy & PRIVATE --> https://t.co/qkHgx7nn57 #LCSM #beatlungcancer #Oncology #beatcancer #oncology #lungcancerresearch #lungcancer #lungcancerawareness #hope https://t.co/mVPWQakoQn |
![]() | Brendon Stiles @BrendonStilesMD We'll get started in a few minutes -- please take a moment to introduce yourselves and say hello! #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: Welcome to #LCSM Chat! Our topic tonight is “Lung Cancer Screening: Never a Better Time Than Now” #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: Welcome to #LCSM Chat! Our topic tonight is “Lung Cancer Screening: Never a Better Time Than Now” #lcsm |
![]() | Brendon Stiles @BrendonStilesMD You can read about how to participate in the chat at https://t.co/93SziNyHT6 #lcsm |
@LungRoadAhead Dan here. Good evening #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD To join, enter the URL “https://t.co/RK0CDZY557” in your browser and type in #lcsm or just follow along on regular twitter. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer Hi andrea is here #lcsm |
![]() | Brendon Stiles @BrendonStilesMD I’m your moderator Brendon Stiles, a thoracic surgeon, researcher, patient advocate, and believer in lung cancer screening! #lcsm |
@LungCancerFaces Deana Hendrickson in warm and windy Los Angeles. Excited to chat about lung cancer screening! #lcsm | |
![]() | Danielle Pardue @Actorielle Hi, my friends! Danielle here, a caregiver for my stage IV mama, living in NC. So good to see everyone. <3 #lcsm |
![]() | Brendon Stiles @BrendonStilesMD @findlungcancer Hi Andrea! #lcsm |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: You can read about how to participate in the chat at https://t.co/93SziNyHT6 #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: You can read about how to participate in the chat at https://t.co/93SziNyHT6 #lcsm |
![]() | Brendon Stiles @BrendonStilesMD I would like to disclose conflicts – I chair @lung_fund & have worked with @merck and @astrazeneca & may work with @medtronic. My wife worked @pfizer and now @ppdCRO. These don’t affect opinions expressed tonight. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD @Actorielle Hi Danielle. Thanks for joining! #lcsm |
![]() | #LCSM Chat @lcsmchat Please note that https://t.co/im3tlIx0RZ will only show tweets that are 140 characters or less. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: I’m your moderator Brendon Stiles, a thoracic surgeon, researcher, patient advocate, and believer in lung cancer scree… |
![]() | yetAnotherName @glostaMAssachu Hi, Betsy here from cold but beautiful Gloucester MA #LCSM |
![]() | Upstage Lung Cancer @UpstageLungCanc Good evening! Always honored to be here! We're an org in the Boston area, using performing arts to raise #lungcancer awareness and funding. Hello, friends! #LCSM |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: I would like to disclose conflicts – I chair @lung_fund & have worked with @merck and @astrazeneca & may work with @me… |
![]() | Brendon Stiles @BrendonStilesMD In this week’s chat we hope to explore new data in support of CT screening for lung cancer and hear ideas to help increase screening rates. #lcsm |
![]() | Andrea Mckee @arbmckee #LCSM @arbmckee here |
![]() | Brendon Stiles @BrendonStilesMD @wildwestannie Hi Betsy. Glad you could join us. #lcsm |
![]() | dearmaizie @dearmaizie RT @LungCancerFaces: "When the best known and one of the oldest cancer non-profits in the country continues to propagate the stigma so many… |
![]() | Brendon Stiles @BrendonStilesMD @arbmckee Love it! Thanks for joining! #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer #awesome great to have you RT @arbmckee: #LCSM @arbmckee here |
![]() | Lung Cancer Sux @LungCancerSux Hello from CT! Care partner to 8+ yr NSCLC survivor #lcsm |
![]() | Brendon Stiles @BrendonStilesMD The NELSON trial presented at #WCLC2018 from @IASLC was strongly positive and provides a convincing argument for screening. #lcsm |
![]() | #LCSM Chat @lcsmchat Welcome @findlungcancer and @arbmckee! #LCSM |
@DavidCookeMD David Cooke, your friendly neighborhood thoracic surgeon. #LCSM | |
![]() | Danielle Pardue @Actorielle @BrendonStilesMD Always an honor. |
@JohnLPender Lurking, as usual. #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD [REDACTED USER] Now we actually have a famous CT surgeon on the chat! #lcsm Thanks for joining! |
![]() | Brendon Stiles @BrendonStilesMD We will get started soon. First, a few reminders… #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: The NELSON trial presented at #WCLC2018 from @IASLC was strongly positive and provides a convincing argument for scree… |
![]() | Brendon Stiles @BrendonStilesMD Please remember to include #LCSM in ALL your tweets so the other chat participants will see them during the chat #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: The NELSON trial presented at #WCLC2018 from @IASLC was strongly positive and provides a convincing argument for scree… |
![]() | Brendon Stiles @BrendonStilesMD If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience #lcsm |
![]() | Brendon Stiles @BrendonStilesMD @LungCancerSux Thanks for joining! #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: We will get started soon. First, a few reminders… #lcsm |
![]() | Brendon Stiles @BrendonStilesMD I will announce FIVE topics (T1 T2 etc). Please label your responses with T1, T2, etc to make transcript easier to follow. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: If you prefer just to listen, please tweet “#LCSM” so we know you’re in the audience #lcsm |
![]() | Brendon Stiles @BrendonStilesMD We’ll start with Topic T1 in a minute. Great to have such a diverse group here! Thanks to everyone for joining. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD @DavidCookeMD Another pretty famous one.... #lcsm |
![]() | Lung Cancer #1 cancer killer of women @VirginiaMByrne For those who care for lung cancer survivors. #lcsm #bcsm [REDACTED USER] [REDACTED USER] @ALKLungCancer |
![]() | Brendon Stiles @BrendonStilesMD T1. What is important about the NELSON trial findings? #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD I am here after missing some previous chats. #lcsm |
![]() | #LCSM Chat @lcsmchat @H_SalemOaks Many find it easier to just search #lcsm on twitter and keep refreshing. |
@LungRoadAhead T1 Without a doubt the confirmation of the decrease in mortality particularly that it’s above 20% for both men and women. #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD Here is what it looked like. #lcsm https://t.co/NDLhnusMgG |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T1. What is important about the NELSON trial findings? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: I will announce FIVE topics (T1 T2 etc). Please label your responses with T1, T2, etc to make transcript easier to fol… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: We’ll start with Topic T1 in a minute. Great to have such a diverse group here! Thanks to everyone for joining. #lcsm |
![]() | Anita Figueras @scifiknitter Anita here from northern NY. EGFR, stage IV & getting ready to embark on treatment #7. 😮 #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. What is important about the NELSON trial findings? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T1 Without a doubt the confirmation of the decrease in mortality particularly that it’s above 20% for both men and women… |
![]() | Brendon Stiles @BrendonStilesMD T1. From @ASCOPost https://t.co/jqgHnCfCqQ #lcsm |
![]() | Lung Cancer #1 cancer killer of women @VirginiaMByrne #lcsm here! Floating in the rough waters off of Halifax, Nova Scotia. |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: Here is what it looked like. #lcsm https://t.co/NDLhnusMgG |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti Vamsi Velcheti @nyulangone joining #LCSM @lcsmchat |
![]() | Brendon Stiles @BrendonStilesMD T1. Participants were randomized to CT screening at baseline, 1, 3, and 5.5 years after randomization, or to a control group that received usual care. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. From @ASCOPost https://t.co/jqgHnCfCqQ #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T1. Detection rates varied between 0.8% and 1.1% across screenings (0.9% overall), and the positive predictive value (chances of a suspicious nodule being cancer) of screening was 41% #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T1 NELSON 2nd trial to show a large mortality benefit for #lungcancer screening; Europe, Japan waiting for results b4 starting screen #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. Participants were randomized to CT screening at baseline, 1, 3, and 5.5 years after randomization, or to a contro… |
![]() | Brendon Stiles @BrendonStilesMD Nodules detected. #lcsm https://t.co/3f90cpovGe |
![]() | Bob Steele @steele_bob Bob here in Greensboro, NC. A few minutes late due to cancer research... #lcsm |
![]() | yetAnotherName @glostaMAssachu RT @BrendonStilesMD: Here is what it looked like. #lcsm https://t.co/NDLhnusMgG |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. Detection rates varied between 0.8% and 1.1% across screenings (0.9% overall), and the positive predictive value… |
![]() | Andrea Borondy Kitts @findlungcancer T1 NELSON mortality benefits larger than NLST especially in women #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 NELSON 2nd trial to show a large mortality benefit for #lungcancer screening; Europe, Japan waiting for results b4 s… |
@JohnLPender @BrendonStilesMD T1 What's the NELSON trial? Never heard of it. #lcsm | |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T1. Participants were randomized to CT screening at baseline, 1, 3, and 5.5 years after randomization, or to a contro… |
![]() | Brendon Stiles @BrendonStilesMD [REDACTED USER] Confirms previous hints though. My sense is that it is real. #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T1. From @ASCOPost https://t.co/jqgHnCfCqQ #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: Here is what it looked like. #lcsm https://t.co/NDLhnusMgG |
![]() | Andrea Borondy Kitts @findlungcancer T1 with a 2nd trial the naysayers will have less basis to say screening doesn't work #lcsm |
@DavidCookeMD A1 NELSON Trial Importance. Large, expensive randomized clinical trial shows benefit of #Lungcancerscreening. 2nd such trial. Can we all agree now? Also benefit to women. #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: Nodules detected. #lcsm https://t.co/3f90cpovGe |
![]() | Andrea Mckee @arbmckee #lcsm T1 significant mortality benefit confirms NLST results to current high risk population, opens the door for access to screening younger group of patients with fewer pack years. 60% mortality benefit in women never before described in screening randomized trial unpreceden |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: Nodules detected. #lcsm https://t.co/3f90cpovGe |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 NELSON mortality benefits larger than NLST especially in women #lcsm |
![]() | Peggy Dennis @peggyddennis #LCSM Joining from Denver |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T1. Detection rates varied between 0.8% and 1.1% across screenings (0.9% overall), and the positive predictive value… |
![]() | Brendon Stiles @BrendonStilesMD T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is that for moving the needle? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 with a 2nd trial the naysayers will have less basis to say screening doesn't work #lcsm |
![]() | #LCSM Chat @lcsmchat RT @arbmckee: #lcsm T1 significant mortality benefit confirms NLST results to current high risk population, opens the door for access to sc… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is tha… |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @DavidCookeMD: A1 NELSON Trial Importance. Large, expensive randomized clinical trial shows benefit of #Lungcancerscreening. 2nd such… |
![]() | Brendon Stiles @BrendonStilesMD T1. The association with an increased benefit of CT screening in females has been described before but was very compelling. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD RT @findlungcancer: T1 with a 2nd trial the naysayers will have less basis to say screening doesn't work #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T1 some insist stage shift and survival time are not good surrogates for mortality; well the mortality benefit is now conclusive #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T1. These results were even more favorable than those reported in the NLST. #lcsm |
![]() | #LCSM Chat @lcsmchat Here's the blog post: https://t.co/gIWGopXXU3 #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is tha… |
![]() | Brendon Stiles @BrendonStilesMD T1. NELSON should be the catalyst for widespread screening in Europe and should increase screening rates in the US. #lcsm |
@DavidCookeMD What would we conjecture the increased benefit in women for NELSON trial? Statistical oddity? #LCSM | |
![]() | Hossen Mahmud, MD @DrHMahmudMD RT @BrendonStilesMD: T1. These results were even more favorable than those reported in the NLST. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. The association with an increased benefit of CT screening in females has been described before but was very compe… |
![]() | Andrea Mckee @arbmckee @BrendonStilesMD #lcsm and in lower risk population |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 some insist stage shift and survival time are not good surrogates for mortality; well the mortality benefit is now c… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. These results were even more favorable than those reported in the NLST. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. NELSON should be the catalyst for widespread screening in Europe and should increase screening rates in the US. #… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: What would we conjecture the increased benefit in women for NELSON trial? Statistical oddity? #LCSM https://t.co/YGOvbQ1… |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is tha… |
![]() | Brendon Stiles @BrendonStilesMD @DavidCookeMD Perhaps different biology. Slower growing cancers? #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T1 many felt NELSON would be neutral due to delay in reporting results and dilution, so the 25% mortality benefit even more impressive #lcsm |
@LungRoadAhead T1 Confirms real life. And my primary care, when we find nodules incidentally, it’s usually early and the patients do better #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD T1. It is important to recognize that NELSON and NLST are probably the LOWEST benefit of what can be achieved with CT screening. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer RT @arbmckee: @BrendonStilesMD #lcsm and in lower risk population |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti @BrendonStilesMD T1- Bottomline message from NELSON- IMO the magnitude of benefit with LDCT is comparable to other screening programs like breast/colon and should be widely implemented- #LCSM Lung cancer screening saves lives |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @DavidCookeMD Perhaps different biology. Slower growing cancers? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 many felt NELSON would be neutral due to delay in reporting results and dilution, so the 25% mortality benefit even… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T1 Confirms real life. And my primary care, when we find nodules incidentally, it’s usually early and the patients do b… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T1. It is important to recognize that NELSON and NLST are probably the LOWEST benefit of what can be achieved with CT… |
![]() | #LCSM Chat @lcsmchat RT @VamsiVelcheti: @BrendonStilesMD T1- Bottomline message from NELSON- IMO the magnitude of benefit with LDCT is comparable to other scree… |
![]() | Bob Steele @steele_bob RT @BrendonStilesMD: T1. NELSON should be the catalyst for widespread screening in Europe and should increase screening rates in the US. #… |
@DavidCookeMD True. Time limited. Unclear if should continue to screen "indefinitely". #LCSM | |
@LungRoadAhead T1. Depending on the age, some males may have had additional occupational exposures as well which impact their ca #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD @VamsiVelcheti Arguably, lung cancer screening mortality data is STRONGER. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T1 yes the benefit in NLST and NELSON are probably the low end, with screening for 20plus years mortality benefit >50% #lcsm |
![]() | Whitney Zahnd @WhitneyZahnd #lcsm post-doctoral cancer disparities researcher doing some lung cancer work, just joining in to listen! |
![]() | Brendon Stiles @BrendonStilesMD Getting ready to move to T2. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: True. Time limited. Unclear if should continue to screen "indefinitely". #LCSM https://t.co/B49ImJeR2V |
![]() | Anita Figueras @scifiknitter RT @BrendonStilesMD: T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is tha… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T1. Depending on the age, some males may have had additional occupational exposures as well which impact their ca #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @VamsiVelcheti Arguably, lung cancer screening mortality data is STRONGER. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 yes the benefit in NLST and NELSON are probably the low end, with screening for 20plus years mortality benefit >50%… |
@DavidCookeMD If some one cannot tolerate treatment, including SBRT, then should not undergo #lungcancerscreening. #LCSM | |
![]() | Brendon Stiles @BrendonStilesMD @WhitneyZahnd Important topic for lung cancer screening. thanks for joining. #lcsm |
@LungRoadAhead T1 would be interesting to see if in 20 years time mortality for sexes is more well matched with more females in the workplace #lcsm | |
![]() | Andrea Borondy Kitts @findlungcancer T1 Best of all, Europe and Japan and many others will now start screening their high risk population #lcsm |
![]() | Brendon Stiles @BrendonStilesMD [REDACTED USER] We can and should screen for more than just 3 cycles. #lcsm |
![]() | Bob Steele @steele_bob RT @BrendonStilesMD: The NELSON trial presented at #WCLC2018 from @IASLC was strongly positive and provides a convincing argument for scree… |
![]() | Andrea Mckee @arbmckee #lcsm evidence supports what we have been saying about NLST- that had there been additional rounds of screening mortality benefit would have been even greater |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: If some one cannot tolerate treatment, including SBRT, then should not undergo #lungcancerscreening. #LCSM https://t.co/c… |
![]() | Brendon Stiles @BrendonStilesMD T2. Who should be screened for lung cancer and how can a patient find a screening center? #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD RT @BrendonStilesMD: [REDACTED USER] We can and should screen for more than just 3 cycles. #lcsm |
@DavidCookeMD RT @arbmckee: #lcsm evidence supports what we have been saying about NLST- that had there been additional rounds of screening mortality ben… | |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T1 would be interesting to see if in 20 years time mortality for sexes is more well matched with more females in the wo… |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T1 Best of all, Europe and Japan and many others will now start screening their high risk population #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: [REDACTED USER] We can and should screen for more than just 3 cycles. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @arbmckee: #lcsm evidence supports what we have been saying about NLST- that had there been additional rounds of screening mortality ben… |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti @BrendonStilesMD agree mortality data is better |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Who should be screened for lung cancer and how can a patient find a screening center? #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T2. Who should be screened for lung cancer and how can a patient find a screening center? #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T2. Lung cancer screening criteria are stricter than most. #lcsm https://t.co/qeANiouHmt |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Lung cancer screening criteria are stricter than most. #lcsm https://t.co/qeANiouHmt |
![]() | Brendon Stiles @BrendonStilesMD T2. Screening is approved for those aged 55-74 with a 30-pack year smoking history (1ppd for 30 years, 2 ppd for 15 years, etc), and who currently smoke or who have quite within 15 years. #lcsm |
@LungRoadAhead T2 nelson says smokers. I say add family hist, radon exposure, occupational carcinogens, #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD T2. Important to recognize that these criteria miss a lot of patients. #lcsm |
![]() | LiveLung @LiveLung1 Tuning in to hear the latest compelling research about #screening #lcsm |
![]() | Lung Cancer Sux @LungCancerSux RT @BrendonStilesMD: T2. Lung cancer screening criteria are stricter than most. #lcsm https://t.co/qeANiouHmt |
![]() | Brendon Stiles @BrendonStilesMD T2. But important to remember that getting a CT scan on a patient with symptoms isn’t “screening”. However, recognition of signs/symptoms of lung cancer in ANYONE just as important. #lcsm |
@DavidCookeMD A2 @LCAorg has a nice list of screening centers in each state: https://t.co/IbZMul4Q2B #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer screened for 3 or 4 (years); followed for 3+ years so people got late stage diagnosis > screening stopped [REDACTED USER] @BrendonStilesMD #lcsm |
![]() | Lung Cancer Sux @LungCancerSux RT @BrendonStilesMD: T2. Screening is approved for those aged 55-74 with a 30-pack year smoking history (1ppd for 30 years, 2 ppd for 15 y… |
![]() | LiveLung @LiveLung1 RT @DavidCookeMD: A1 NELSON Trial Importance. Large, expensive randomized clinical trial shows benefit of #Lungcancerscreening. 2nd such… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Screening is approved for those aged 55-74 with a 30-pack year smoking history (1ppd for 30 years, 2 ppd for 15 y… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T2 nelson says smokers. I say add family hist, radon exposure, occupational carcinogens, #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T2. Eventually, we will develop expanded criteria including family history and genetic markers. We need more research in this area. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Important to recognize that these criteria miss a lot of patients. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: A2 @LCAorg has a nice list of screening centers in each state: https://t.co/IbZMul4Q2B #LCSM |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: screened for 3 or 4 (years); followed for 3+ years so people got late stage diagnosis > screening stopped [REDACTED USER] @Br… |
![]() | Brendon Stiles @BrendonStilesMD T2. But before expanding screening criteria (family history, other exposures, genetic markers) we need to first show we can enroll currently eligible patients. #lcsm |
@LungRoadAhead T2 Finding a screening center the patient can afford to travel to is the issue. 20 mile drive is not affordable for a lot of pts #lcsm | |
![]() | Andrea Borondy Kitts @findlungcancer T2 we should be screening NCCN Group 2 -- @laheyhealth results show at equivalent risk as the covered group #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Eventually, we will develop expanded criteria including family history and genetic markers. We need more researc… |
![]() | Brendon Stiles @BrendonStilesMD T2. Look for centers accredited by the ACR. #lcsm |
![]() | Danielle Pardue @Actorielle RT @DavidCookeMD: A2 @LCAorg has a nice list of screening centers in each state: https://t.co/IbZMul4Q2B #LCSM |
![]() | Brendon Stiles @BrendonStilesMD RT @findlungcancer: T2 we should be screening NCCN Group 2 -- @laheyhealth results show at equivalent risk as the covered group #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T2 Also consider using risk prediction models for selection e.g. PLCO2012 #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T2. But important to remember that getting a CT scan on a patient with symptoms isn’t “screening”. However, recognit… |
![]() | Danielle Pardue @Actorielle RT @LungRoadAhead: T2 nelson says smokers. I say add family hist, radon exposure, occupational carcinogens, #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T2. @LCAorg also has a nice list of centers: https://t.co/2zyWvCKwkM #lcsm |
@LungCancerFaces How many times (years) should one continue screening for lung cancer? #lcsm | |
@LungRoadAhead T2. Every hospital with a CT scanner should be doing. If no one on staff qualified to read, send films to larger center to be read #lcsm | |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. But before expanding screening criteria (family history, other exposures, genetic markers) we need to first show… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T2 Finding a screening center the patient can afford to travel to is the issue. 20 mile drive is not affordable for a lo… |
![]() | Brendon Stiles @BrendonStilesMD T2. Most importantly, talk to your family doctor, pulmonologist, or internal medicine physician. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T2 we should be screening NCCN Group 2 -- @laheyhealth results show at equivalent risk as the covered group #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T2. Look for centers accredited by the ACR. #lcsm |
@DavidCookeMD Correct. < 5% of those who are eligible are screened. https://t.co/UIEObTgYrz #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T2 Also consider using risk prediction models for selection e.g. PLCO2012 #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T2 current screening criteria results in less AA eligible for screening due to smoking history, age; risk models do better #lcsm |
![]() | Danielle Pardue @Actorielle @LungRoadAhead I wish I could put this on t-shirts, billboards, etc. My own PCP's PA told me I was "not at risk" for LC b/c of my age. It is all over my family hx. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungCancerFaces: How many times (years) should one continue screening for lung cancer? #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD I think we should make an uniform guideline on who should be screened for lung cancer, particularly as per age. Now there are different guidelines set up by different thoracic professional and other organizations. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T2. Every hospital with a CT scanner should be doing. If no one on staff qualified to read, send films to larger center… |
![]() | Brendon Stiles @BrendonStilesMD @LungCancerFaces IMO, as long as they would do something about a cancer if found. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Correct. < 5% of those who are eligible are screened. https://t.co/UIEObTgYrz #LCSM https://t.co/p3oVcGJD8K |
![]() | Danielle Pardue @Actorielle RT @LungRoadAhead: T2 Finding a screening center the patient can afford to travel to is the issue. 20 mile drive is not affordable for a lo… |
![]() | yetAnotherName @glostaMAssachu @LungRoadAhead Interesting for those who are still alive and didn’t die from lung cancer that could’ve been dx’d but wasn’t because RULES and uninformed primary care! (Forgive my drama)#LCSM |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T2 current screening criteria results in less AA eligible for screening due to smoking history, age; risk models do bet… |
![]() | #LCSM Chat @lcsmchat RT @Actorielle: @LungRoadAhead I wish I could put this on t-shirts, billboards, etc. My own PCP's PA told me I was "not at risk" for LC b/c… |
@LungRoadAhead T2. If we stick with the present list of centers we will exclude about half of pts from access to screening #lcsm | |
![]() | Bob Steele @steele_bob RT @LungRoadAhead: T2 nelson says smokers. I say add family hist, radon exposure, occupational carcinogens, #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @LungCancerFaces IMO, as long as they would do something about a cancer if found. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T2 if you are a current or former smoker; have a discussion about screening with your doctor; encourage others you know to do the same #lcsm |
![]() | Andrea Mckee @arbmckee @findlungcancer @LaheyHealth #lcsm NCCN group 2 at equal risk for development of lung cancer - insurance coverage is not equivalent to medical evidence |
![]() | #LCSM Chat @lcsmchat RT @wildwestannie: @LungRoadAhead Interesting for those who are still alive and didn’t die from lung cancer that could’ve been dx’d but was… |
@DavidCookeMD Also, members of the Black community when they are eligible, are less likely to be screened. https://t.co/Hzhqmbw2ZR #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T2. If we stick with the present list of centers we will exclude about half of pts from access to screening #lcsm |
![]() | Bob Steele @steele_bob RT @DavidCookeMD: A2 @LCAorg has a nice list of screening centers in each state: https://t.co/IbZMul4Q2B #LCSM |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T2 if you are a current or former smoker; have a discussion about screening with your doctor; encourage others you know… |
![]() | Anita Figueras @scifiknitter RT @DavidCookeMD: A2 @LCAorg has a nice list of screening centers in each state: https://t.co/IbZMul4Q2B #LCSM |
![]() | #LCSM Chat @lcsmchat RT @arbmckee: @findlungcancer @LaheyHealth #lcsm NCCN group 2 at equal risk for development of lung cancer - insurance coverage is not equi… |
![]() | Brendon Stiles @BrendonStilesMD @DevikaDasMD I agree. The starting age of 55 seems too loose for heavy smokers. And why stop at 74 in healthy people? #lcsm |
![]() | Brendon Stiles @BrendonStilesMD Going to jump to another important topic, T3 in just a minute. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD RT @BrendonStilesMD: @DevikaDasMD I agree. The starting age of 55 seems too loose for heavy smokers. And why stop at 74 in healthy people… |
![]() | Bob Steele @steele_bob RT @BrendonStilesMD: @DevikaDasMD I agree. The starting age of 55 seems too loose for heavy smokers. And why stop at 74 in healthy people… |
![]() | mimiprovenzano @MimiProvenzano HI! I'm late, but here! #lcsm |
@LungRoadAhead T2 Agree. Healthy 76 yr old shouldnt just be written off #lcsm | |
![]() | LiveLung @LiveLung1 RT @BrendonStilesMD: @DevikaDasMD I agree. The starting age of 55 seems too loose for heavy smokers. And why stop at 74 in healthy people… |
![]() | Danielle Pardue @Actorielle @BrendonStilesMD *Provided they are current in the field. My PCP's office has not necessarily been supportive of my prophylactic interest, which is due to my extensive family hx of LC, and I think that's a shame. #lcsm |
@DavidCookeMD The only guidelines that matter right now are the USPSTF and @CMSGov #LCSM | |
![]() | Brendon Stiles @BrendonStilesMD @MimiProvenzano Ahhh. Finally. Missing you from afar. Hope all is well. #lcsm |
![]() | Danielle Pardue @Actorielle RT @DavidCookeMD: Also, members of the Black community when they are eligible, are less likely to be screened. https://t.co/Hzhqmbw2ZR #LC… |
![]() | Bob Steele @steele_bob RT @DavidCookeMD: The only guidelines that matter right now are the USPSTF and @CMSGov #LCSM https://t.co/HUt60FCwYk |
![]() | Danielle Pardue @Actorielle RT @arbmckee: @findlungcancer @LaheyHealth #lcsm NCCN group 2 at equal risk for development of lung cancer - insurance coverage is not equi… |
@LungCancerFaces Why do you think we have so few getting screened currently? More than one reason? #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD T3. How can we increase screening rates of eligible patients? #lcsm |
![]() | Danielle Pardue @Actorielle @wildwestannie @LungRoadAhead Likewise in my family. Not drama! #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @DevikaDasMD I agree. The starting age of 55 seems too loose for heavy smokers. And why stop at 74 in healthy people… |
![]() | Andrea Borondy Kitts @findlungcancer need to help all screening sites to implement quality #lungcancer screening programs - @LungRoadAhead https://t.co/iemZXfDSfN #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T2 Agree. Healthy 76 yr old shouldnt just be written off #lcsm |
@DavidCookeMD @lcsmchat , Yo! #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @Actorielle: @BrendonStilesMD *Provided they are current in the field. My PCP's office has not necessarily been supportive of my prophyl… |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: T3. How can we increase screening rates of eligible patients? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: The only guidelines that matter right now are the USPSTF and @CMSGov #LCSM https://t.co/HUt60FCwYk |
![]() | Brendon Stiles @BrendonStilesMD T3. This is critical question. Despite CMS approval, less than 10% of patients getting screened. HORRIBLE. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. How can we increase screening rates of eligible patients? #lcsm |
![]() | yetAnotherName @glostaMAssachu @LungRoadAhead I would happily drive 50 to 100 miles. Or find someone to drive me. But I’m part of the choir. #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @LungCancerFaces: Why do you think we have so few getting screened currently? More than one reason? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungCancerFaces: Why do you think we have so few getting screened currently? More than one reason? #lcsm |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti T2 #LCSM IPN and unnecessary biopsies and complications still an issue @lcsmchat need improved acccess to novel imaging software #ArtificialInteligence |
![]() | Bob Steele @steele_bob RT @LungCancerFaces: Why do you think we have so few getting screened currently? More than one reason? #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD Agree, It should be less than 55y for heavy smokers and for those who have comorbidity which increases the risk for LC @BrendonStilesMD @DevikaDasMD |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: need to help all screening sites to implement quality #lungcancer screening programs - @LungRoadAhead https://t.co/iem… |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T3. How can we increase screening rates of eligible patients? #lcsm |
![]() | Danielle Pardue @Actorielle RT @LungCancerFaces: Why do you think we have so few getting screened currently? More than one reason? #lcsm |
![]() | Bob Steele @steele_bob RT @VamsiVelcheti: T2 #LCSM IPN and unnecessary biopsies and complications still an issue @lcsmchat need improved acccess to novel imaging… |
@LungRoadAhead T3 from the primary care trenches, we have hard time just doing what we have to do. Req for visit to counsel prior to CT limits orders #lcsm | |
@DavidCookeMD This. A blueprint for medical centers (urban and rural) to start a #luncancerscreening program. #LCSM @LungAssociation | |
![]() | #LCSM Chat @lcsmchat Private insurance and Medicare. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD Here are potential lives saved by 2030 if we did better at screening eligible patients. Should we save 62,000 lives? How about 138,000? I vote yes. #lcsm https://t.co/G5RDjQSpbI |
![]() | Danielle Pardue @Actorielle @LungCancerFaces I personally know several folks who would be eligible for tests such as this but who are scared of what might be there/in a form of denial. Heartbreaking. #lcsm |
![]() | Danielle Pardue @Actorielle RT @DavidCookeMD: @lcsmchat , Yo! #LCSM https://t.co/47SJp6ukY6 |
![]() | Brendon Stiles @BrendonStilesMD [REDACTED USER] Medicare and insurance. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @wildwestannie: @LungRoadAhead I would happily drive 50 to 100 miles. Or find someone to drive me. But I’m part of the choir. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @VamsiVelcheti: T2 #LCSM IPN and unnecessary biopsies and complications still an issue @lcsmchat need improved acccess to novel imaging… |
![]() | Andrea Borondy Kitts @findlungcancer T2 NCCN Guidelines as a Model of Extended Criteria for Lung Cancer Screening. https://t.co/DkkGdLCKXN #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T3 from the primary care trenches, we have hard time just doing what we have to do. Req for visit to counsel prior to CT… |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: Here are potential lives saved by 2030 if we did better at screening eligible patients. Should we save 62,000 lives?… |
![]() | Seth Krantz, MD, FACS @SethBKrantz @BrendonStilesMD Part of the difficult with enrolling currently eligible patients is the stringency of using rigid study criteria. Patients and health system have to jump through far more hoops for lung screening than for any other cancer. |
![]() | yetAnotherName @glostaMAssachu @BrendonStilesMD Educate primary care!!!!! |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: Here are potential lives saved by 2030 if we did better at screening eligible patients. Should we save 62,000 lives?… |
![]() | Bob Steele @steele_bob RT @findlungcancer: T2 NCCN Guidelines as a Model of Extended Criteria for Lung Cancer Screening. https://t.co/DkkGdLCKXN #lcsm |
![]() | #LCSM Chat @lcsmchat RT @Actorielle: @LungCancerFaces I personally know several folks who would be eligible for tests such as this but who are scared of what mi… |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T2 NCCN Guidelines as a Model of Extended Criteria for Lung Cancer Screening. https://t.co/DkkGdLCKXN #lcsm |
@LungRoadAhead T3. Colon &breast ca screening also can raise questions but we see those patients after the test , why should tbe any diff for lung #lcsm | |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: Here are potential lives saved by 2030 if we did better at screening eligible patients. Should we save 62,000 lives?… |
@DavidCookeMD #SiSePuede ! #LCSM | |
![]() | Brendon Stiles @BrendonStilesMD T3. Lots of barriers exist. From @drCarterHarris #lcsm https://t.co/PWRJaerKli |
![]() | mimiprovenzano @MimiProvenzano RT @findlungcancer: T2 NCCN Guidelines as a Model of Extended Criteria for Lung Cancer Screening. https://t.co/DkkGdLCKXN #lcsm |
![]() | #LCSM Chat @lcsmchat #lcsm |
![]() | Bob Steele @steele_bob RT @wildwestannie: @LungRoadAhead I would happily drive 50 to 100 miles. Or find someone to drive me. But I’m part of the choir. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T3. Colon &breast ca screening also can raise questions but we see those patients after the test , why should tbe any di… |
![]() | Brendon Stiles @BrendonStilesMD T3. Need education, education, and more education. Of physicians and the public. #lcsm |
![]() | Danielle Pardue @Actorielle RT @findlungcancer: T2 NCCN Guidelines as a Model of Extended Criteria for Lung Cancer Screening. https://t.co/DkkGdLCKXN #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Lots of barriers exist. From @drCarterHarris #lcsm https://t.co/PWRJaerKli |
![]() | Seth Krantz, MD, FACS @SethBKrantz RT @BrendonStilesMD: T2. Lung cancer screening criteria are stricter than most. #lcsm https://t.co/qeANiouHmt |
![]() | Hossen Mahmud, MD @DrHMahmudMD @BrendonStilesMD Patients' fear that LDCT screening may harm them rather than giving benefits. |
![]() | Brendon Stiles @BrendonStilesMD T3. Referral to screening centers may help streamline process. #lcsm |
![]() | Bob Steele @steele_bob RT @BrendonStilesMD: T3. Lots of barriers exist. From @drCarterHarris #lcsm https://t.co/PWRJaerKli |
![]() | Brendon Stiles @BrendonStilesMD T3. We have to debunk the argument that CT screening is somehow hurting people. Simply not true. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer need to engage referring physicians in talking to their patients My orthopedic surgeon today agreed to talk to his patients #lcsm |
@LungRoadAhead T3 75% of mammograms i order are when i notice pt has not had done during a sick visit. I just place the order #lcsm | |
![]() | yetAnotherName @glostaMAssachu @Actorielle @LungCancerFaces Me too. My brother for one #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T3. Also have to get past the stigma that lung cancer is somehow the fault of the patient and the nihilism that it is incurable. Also simply not true. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD #LCSM |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T3. We have to debunk the argument that CT screening is somehow hurting people. Simply not true. #lcsm |
@LungRoadAhead T3 For lung ca. I cant do that. I am required to do the counselling visit #lcsm | |
![]() | #LCSM Chat @lcsmchat Anyone? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Need education, education, and more education. Of physicians and the public. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T3. Standardized programs for follow up will help incredibly. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Referral to screening centers may help streamline process. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. We have to debunk the argument that CT screening is somehow hurting people. Simply not true. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: need to engage referring physicians in talking to their patients My orthopedic surgeon today agreed to talk to his pat… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T3 75% of mammograms i order are when i notice pt has not had done during a sick visit. I just place the order #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T3. Need education, education, and more education. Of physicians and the public. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer agree - there is a lot of misinformation & WRONG info about harms and benefits portrayed as being minimal @BrendonStilesMD #lcsm |
@DavidCookeMD Educating docs is key. A lot of doubt in the medical community, specifically primary care and family medicine. Despite overwhelming evidence. No resistance when it comes to breast or colon. #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Also have to get past the stigma that lung cancer is somehow the fault of the patient and the nihilism that it is… |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T3. Standardized programs for follow up will help incredibly. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD @lcsmchat It was logged out. I logged back in. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. Standardized programs for follow up will help incredibly. #lcsm |
@LungRoadAhead T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not in big cities #lcsm | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: agree - there is a lot of misinformation & WRONG info about harms and benefits portrayed as being minimal @BrendonStile… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Educating docs is key. A lot of doubt in the medical community, specifically primary care and family medicine. Despite… |
![]() | Brendon Stiles @BrendonStilesMD RT @DavidCookeMD: Educating docs is key. A lot of doubt in the medical community, specifically primary care and family medicine. Despite… |
![]() | Andrea Borondy Kitts @findlungcancer T3 We have to tell docs and patients that when #lungcancer is found in a screening program, it is curable more than 80% of the time #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T3. The “shared decision visit” is burdensome to PCPs. Consider programs where that is taken out of PCP’s hands. #lcsm |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @LungRoadAhead: T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not… |
![]() | Danielle Pardue @Actorielle RT @LungRoadAhead: T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not… |
![]() | mimiprovenzano @MimiProvenzano RT @LungRoadAhead: T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not… |
![]() | Brendon Stiles @BrendonStilesMD @LungRoadAhead This is a great point. Have to do better at reaching populations outside of major centers. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T3 We have to tell docs and patients that when #lungcancer is found in a screening program, it is curable more than 80%… |
![]() | Bob Steele @steele_bob RT @LungRoadAhead: T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T3. The “shared decision visit” is burdensome to PCPs. Consider programs where that is taken out of PCP’s hands. #lc… |
@DavidCookeMD If the in the age group and the difined high risk group, then either Medicare, Medicaid or private insurance. Private insurance is required by law (#ACA people!!!) to cover with no added cost. #SaveObamacare #LCSM | |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti RT @BrendonStilesMD: T1. CT screening reduced the risk of dying from lung cancer by about 26% in men and by 39-61% in females! How is tha… |
![]() | Andrea Borondy Kitts @findlungcancer T3 working to get the option to do SDM via telehealth, then need mobile CT scanners to go to the people, VA Phoenix is doing that #lcsm |
![]() | Danielle Pardue @Actorielle @lcsmchat I have no doubt that private insurance and CMS will have their claws in the process of setting guidelines. Their usual and customary will rule the coverage. #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T3. Also have to get past the stigma that lung cancer is somehow the fault of the patient and the nihilism that it is… |
@LungRoadAhead T3 it has got to be made easier for overworked promary care docs to order screening or numbers wont increase #lcsm | |
![]() | Bob Steele @steele_bob RT @findlungcancer: T3 working to get the option to do SDM via telehealth, then need mobile CT scanners to go to the people, VA Phoenix is… |
@DavidCookeMD I get accused of this a lot during conversations. #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer T3 Brail is also building mobile CT scanners to use in getting to their rural populations #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @LungRoadAhead This is a great point. Have to do better at reaching populations outside of major centers. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: If the in the age group and the difined high risk group, then either Medicare, Medicaid or private insurance. Private in… |
![]() | yetAnotherName @glostaMAssachu @findlungcancer Done. Several times with several people. They roll their eyes. In their eyes I am ignorant of guidelines and I am wasting their time. You don’t know what it’s like out there. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T3 working to get the option to do SDM via telehealth, then need mobile CT scanners to go to the people, VA Phoenix is… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T3 it has got to be made easier for overworked promary care docs to order screening or numbers wont increase #lcsm |
@DavidCookeMD Yes! Don't you think this is some of the crux of the resistance? #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T3 Brail is also building mobile CT scanners to use in getting to their rural populations #lcsm |
![]() | Danielle Pardue @Actorielle [REDACTED USER] Failure to screen (and all other medical malpractice causes of action) only matter insofar as the doc has deviated from the standard of care. Right now, we are talking about GETTING to the standard of care. We are a long, long way off. #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T3. Lots of barriers exist. From @drCarterHarris #lcsm https://t.co/PWRJaerKli |
![]() | yetAnotherName @glostaMAssachu RT @arbmckee: @findlungcancer @LaheyHealth #lcsm NCCN group 2 at equal risk for development of lung cancer - insurance coverage is not equi… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Yes! Don't you think this is some of the crux of the resistance? #LCSM https://t.co/KpcSTjK3jD |
![]() | Andrea Borondy Kitts @findlungcancer T3 need to provide information on screening to patients before their SDM discussion w/doc; some good tools now available #lcsm |
![]() | #LCSM Chat @lcsmchat RT @Actorielle: [REDACTED USER] Failure to screen (and all other medical malpractice causes of action) only matter insofar as the doc has deviated… |
![]() | Brendon Stiles @BrendonStilesMD @LungRoadAhead True. But "overworked" is not an excuse to not follow evidence based medicine. #lcsm |
@DavidCookeMD Yes. And we shouldn't withhold evidenced based care for fear of being sued for missing something. #LCSM Also, docs in states with tort reform do not have that as an excuse. | |
![]() | Hossen Mahmud, MD @DrHMahmudMD @DavidCookeMD Thank you for pointing this out. #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: @LungRoadAhead True. But "overworked" is not an excuse to not follow evidence based medicine. #lcsm |
@LungRoadAhead T3. Toledo news today had article about free walkin mammo screen clinic for underservedCant do lung w the reqfor counselling visit 1st #lcsm | |
![]() | mimiprovenzano @MimiProvenzano RT @DavidCookeMD: Yes. And we shouldn't withhold evidenced based care for fear of being sued for missing something. #LCSM Also, docs in st… |
![]() | Brendon Stiles @BrendonStilesMD @DevikaDasMD @findlungcancer @cdmrp does a good job with grants for early detection and screening. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T4 coming up. One of my pet peeves. Among many. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T3 need to provide information on screening to patients before their SDM discussion w/doc; some good tools now availabl… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @LungRoadAhead True. But "overworked" is not an excuse to not follow evidence based medicine. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Yes. And we shouldn't withhold evidenced based care for fear of being sued for missing something. #LCSM Also, docs in st… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T3. Toledo news today had article about free walkin mammo screen clinic for underservedCant do lung w the reqfor counsel… |
![]() | Brendon Stiles @BrendonStilesMD T4. Are there harms to lung cancer screening? How can harms be avoided? #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T3 could do walk in scan - need clinician to do SDM discussion, then do scan, they did this in Manchester & Liverpool UK worked Gr8 #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T4. Are there harms to lung cancer screening? How can harms be avoided? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Are there harms to lung cancer screening? How can harms be avoided? #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T4. Of course there are potential harms. There are potential harms to getting a haircut. But how we portray harms affects decision making. #lcsm |
@LungRoadAhead @BrendonStilesMD @LungRoadAhead True but when no other docs in area &next open appt 3 mos out, pts cant get in for counselling visit #lcsm | |
![]() | yetAnotherName @glostaMAssachu RT @DavidCookeMD: Yes! Don't you think this is some of the crux of the resistance? #LCSM https://t.co/KpcSTjK3jD |
@DavidCookeMD You can have a MA on board the screening truck who does shared decision making and smoking cessation counseling, and choose not to bill for it. #LCSM | |
![]() | Brendon Stiles @BrendonStilesMD In general, harms are way overstated. By people who should know better. #lcsm https://t.co/VaW3hPnFak |
![]() | Hossen Mahmud, MD @DrHMahmudMD RT @BrendonStilesMD: In general, harms are way overstated. By people who should know better. #lcsm https://t.co/VaW3hPnFak |
@DavidCookeMD My wife has done my haircuts for the past 12 years, so no harm there. #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer T4 harms are often overstated; main thing is to let people know about the process & potential for a "recall' in 3-6 months #lcsm |
![]() | Ginger Riley ~Eternal Optimist~ @gingerly21 RT @MayoCancerCare: New technology overcomes false positives in CT for #LungCancer - Researchers used radiomics to test variables to distin… |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T3 could do walk in scan - need clinician to do SDM discussion, then do scan, they did this in Manchester & Liverpool U… |
![]() | Brendon Stiles @BrendonStilesMD T4. False positives in particular are overstated. A nodule by itself is not a “false positive” or "false alarm". It is JUST a (likely benign) nodule. Only false positive if pursued invasively. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Of course there are potential harms. There are potential harms to getting a haircut. But how we portray harms a… |
![]() | Kimberley H Geissler @khgeissler @BrendonStilesMD Are false positives from screening a bigger concern in disease with such poor prognosis (vs. e.g., prostate cancer)? #lcsm |
@LungRoadAhead T4. There are potential harms w all screens. False pos and negs w mamm, colon perforations with scopes but they are accepted risks #lcsm | |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: @BrendonStilesMD @LungRoadAhead True but when no other docs in area &next open appt 3 mos out, pts cant get in for coun… |
![]() | Seth Krantz, MD, FACS @SethBKrantz @BrendonStilesMD Our PCPS are MORE than happy for this to be taken out their hands. #lcsm |
@LungRoadAhead T4 Cumulative radiation load #lcsm | |
@ Lurking from Louisiana #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD @DavidCookeMD Probably one in 1000 chance of getting cut up bad. About same risk of major complication with lung cancer screening if you don't turn out to have lung cancer. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T4. Most patients don’t need invasive procedures and if you are ultimately not found to have cancer, risk of major complications or death is less than 1 in 1000. #lcsm From NLST. https://t.co/ax8pBf1xmr |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: In general, harms are way overstated. By people who should know better. #lcsm https://t.co/VaW3hPnFak |
![]() | #LCSM Chat @lcsmchat From Dr. Carter-Harris: Agreed. But critical to educate on the importance of following evidence-based guidelines as well as create mechanisms that support PCPs to decrease the barriers to the discussion and referral for screening of appropriate high risk patients #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: In general, harms are way overstated. By people who should know better. #lcsm https://t.co/VaW3hPnFak |
![]() | Brendon Stiles @BrendonStilesMD T4. Most “screening harms” actually occur during diagnosis/treatment course of patients found to have cancer and are thus not inherent to screening process itself. #lcsm |
@DavidCookeMD RT @lcsmchat: From Dr. Carter-Harris: Agreed. But critical to educate on the importance of following evidence-based guidelines as well as… | |
![]() | Andrea Borondy Kitts @findlungcancer T4 false pos overstated, rad risk overstated, overdiagnosis overstated, benefits understated, 60k/year die, unethical not to screen #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: In general, harms are way overstated. By people who should know better. #lcsm https://t.co/VaW3hPnFak |
![]() | Andrea Borondy Kitts @findlungcancer @findlungcancer 160k per year die #lcsm |
![]() | Danielle Pardue @Actorielle RT @lcsmchat: From Dr. Carter-Harris: Agreed. But critical to educate on the importance of following evidence-based guidelines as well as… |
![]() | Brendon Stiles @BrendonStilesMD @khgeissler The problem is the definition. NCI and others call any nodule a "false positive" when it is simply likely just a benign nodule. If no intervention is done, how is that a harm? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T4 false pos overstated, rad risk overstated, overdiagnosis overstated, benefits understated, 60k/year die, unethical… |
![]() | Brendon Stiles @BrendonStilesMD @LungRoadAhead Exceedingly low. #lcsm |
![]() | Danielle Pardue @Actorielle RT @findlungcancer: T4 false pos overstated, rad risk overstated, overdiagnosis overstated, benefits understated, 60k/year die, unethical… |
![]() | Brendon Stiles @BrendonStilesMD T4. Previous studies show that anxiety over “false positive” is short lived and diminished or resolved at long term follow up. #lcsm https://t.co/h0fKcpkwDu |
![]() | Brendon Stiles @BrendonStilesMD T4. Some people like to talk about “overdiagnosis” or “indolent” lung cancers. Yes, there are probably some slow moving lung cancers. But until we get survival for stage I above 90% it is hard for me stake a claim to overdiagnosis. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD @BrendonStilesMD Is LDCT screening gives more false +ve than mammography or screening for CRC? It not, where is the fear? #lcsm |
@LungRoadAhead @BrendonStilesMD @LungRoadAhead Agree. And there are studies out there that show low dose radn can have stabilizing effects on DNA #lcsm | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: @findlungcancer 160k per year die #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T4. Also hard to model and predict growth of a supposed “indolent” tumor. Pure ground glass nodules can likely be watched. But a solid component generally indicates invasive cancer. #lcsm |
![]() | Danielle Pardue @Actorielle @BrendonStilesMD @khgeissler Fear. |
![]() | Bob Steele @steele_bob RT @khgeissler: @BrendonStilesMD Are false positives from screening a bigger concern in disease with such poor prognosis (vs. e.g., prostat… |
![]() | Andrea Borondy Kitts @findlungcancer not all positive screens need multidisciplinary review; Yes positive scansare suspicious for #lungcancer @DevikaDasMD @findlungcancer #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Previous studies show that anxiety over “false positive” is short lived and diminished or resolved at long term f… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Some people like to talk about “overdiagnosis” or “indolent” lung cancers. Yes, there are probably some slow mov… |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T4. Previous studies show that anxiety over “false positive” is short lived and diminished or resolved at long term f… |
@DavidCookeMD Mammography false positive higher. #LCSM | |
![]() | Kimberley H Geissler @khgeissler @BrendonStilesMD Q - can you distinguish benign nodule at time of screening, or do you have to do biopsy? (and how much time elapses for patient between "see something" and "actually, it's fine") #lcsm |
![]() | Lisa Carter-Bawa, PhD, MPH, APRN, ANP-C, FAAN @drCarterBawa RT @findlungcancer: @findlungcancer 160k per year die #lcsm |
![]() | Lisa Carter-Bawa, PhD, MPH, APRN, ANP-C, FAAN @drCarterBawa RT @BrendonStilesMD: T4. Most “screening harms” actually occur during diagnosis/treatment course of patients found to have cancer and are… |
![]() | yetAnotherName @glostaMAssachu @LungRoadAhead Enter effects of stigma. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD In our study from NLST surgical lung cancer data, harms can be reduced with minimally invasive surgery and limited resection. #lcsm https://t.co/AfrzNFNtxK |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: T4. Previous studies show that anxiety over “false positive” is short lived and diminished or resolved at long term f… |
![]() | Frank Ingram, MD @Chucktowndoc Ingram checking in. Community pathologist in NC. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer YES but in peer reviewed literature they use WRONG numbers for #lungcancer screen RT @DavidCookeMD: Mammography false positive higher. #LCSM |
![]() | Brendon Stiles @BrendonStilesMD @khgeissler Most should be followed with interval imaging using LungRads protocols. #lcsm https://t.co/qgsZF3d07F |
@DavidCookeMD To patients, I liken it to a dermatologist following moles as part of a skin survey. Some obviously benign, some obviously cancer, and many need to be watched. #LCSM | |
@LungCancerFaces So, all the times I've had breast biopsies that turned out to be nothing are considered harms? Puhleez... #lcsm | |
![]() | Bob Steele @steele_bob RT @findlungcancer: not all positive screens need multidisciplinary review; Yes positive scansare suspicious for #lungcancer @DevikaDasMD @… |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: In our study from NLST surgical lung cancer data, harms can be reduced with minimally invasive surgery and limited res… |
![]() | Bob Steele @steele_bob RT @findlungcancer: YES but in peer reviewed literature they use WRONG numbers for #lungcancer screen RT @DavidCookeMD: Mammography false p… |
![]() | Brendon Stiles @BrendonStilesMD @LungCancerFaces Sort of messed up your head and made you angry. Maybe? #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer YES RT @BrendonStilesMD: @khgeissler Most should be followed with interval imaging using LungRads protocols. #lcsm https://t.co/KhvnU52LaF |
![]() | #LCSM Chat @lcsmchat RT @DrHMahmudMD: @BrendonStilesMD Is LDCT screening gives more false +ve than mammography or screening for CRC? It not, where is the fear?… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T4. Also hard to model and predict growth of a supposed “indolent” tumor. Pure ground glass nodules can likely be wa… |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: not all positive screens need multidisciplinary review; Yes positive scansare suspicious for #lungcancer @DevikaDasMD @… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Mammography false positive higher. #LCSM https://t.co/epsrkZVOqG |
![]() | yetAnotherName @glostaMAssachu RT @BrendonStilesMD: T4. Most “screening harms” actually occur during diagnosis/treatment course of patients found to have cancer and are… |
![]() | #LCSM Chat @lcsmchat RT @khgeissler: @BrendonStilesMD Q - can you distinguish benign nodule at time of screening, or do you have to do biopsy? (and how much tim… |
![]() | Bob Steele @steele_bob RT @LungCancerFaces: So, all the times I've had breast biopsies that turned out to be nothing are considered harms? Puhleez... #lcsm |
@LungRoadAhead @DevikaDasMD @findlungcancer Great in theory, our area is down to 1 onco fr 3 &havent yet replaced pulm fr 2 yrs ago - 2 mo appt wait #lcsm | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: YES but in peer reviewed literature they use WRONG numbers for #lungcancer screen RT @DavidCookeMD: Mammography false p… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: To patients, I liken it to a dermatologist following moles as part of a skin survey. Some obviously benign, some obviousl… |
![]() | Lisa Carter-Bawa, PhD, MPH, APRN, ANP-C, FAAN @drCarterBawa @BrendonStilesMD @lcsmchat True. Also, harms are presented in such a way that it’s difficult for many patients to not understand (i.e., iconographs, numeric, etc). Digesting this info difficult and puts many people off |
![]() | Vamsi Velcheti, MD MBA FASCO @VamsiVelcheti @BrendonStilesMD T4# potential opportunity for immunotherapy in pts w/ GGO to prevent neoplastic transformation #LCSM Need more studies for chemo/immuno prevention strategies in high risk lung cancer pts- perhaps even more relevant now with increasing LC screening |
![]() | Brendon Stiles @BrendonStilesMD @DrHMahmudMD Depends how you define false positive. If we get fact out that having nodules is normal, that overwhelming majority are benign and don't need biopsy --- there should be no fear. #lcsm |
@LungCancerFaces Nope. Not at all. No biggie. #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD Moving to T5. #lcsm |
![]() | Bob Steele @steele_bob RT @LungRoadAhead: @DevikaDasMD @findlungcancer Great in theory, our area is down to 1 onco fr 3 &havent yet replaced pulm fr 2 yrs ago - 2… |
@DavidCookeMD There is a LungRads system that helps identify nodules highest risk for cancer. Not available during NLST. So current practice is probably yielding better appropriateness of care than NLST. https://t.co/CenPmO5Ksw #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer T4 I want to talk more about the benefits - finding #lungcancer at stage T1a has 90+% 10 year survival - It is a CURE #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T5. What happens if a nodule is found during a lung cancer screening test? #lcsm |
@wickster55 RT @BrendonStilesMD: T4. Most “screening harms” actually occur during diagnosis/treatment course of patients found to have cancer and are… | |
![]() | #LCSM Chat @lcsmchat RT @LungCancerFaces: So, all the times I've had breast biopsies that turned out to be nothing are considered harms? Puhleez... #lcsm |
![]() | mimiprovenzano @MimiProvenzano @BrendonStilesMD the patient freaks out! #lcsm |
![]() | Brendon Stiles @BrendonStilesMD @LungCancerFaces Disinhibited? #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: YES RT @BrendonStilesMD: @khgeissler Most should be followed with interval imaging using LungRads protocols. #lcsm htt… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: @DevikaDasMD @findlungcancer Great in theory, our area is down to 1 onco fr 3 &havent yet replaced pulm fr 2 yrs ago - 2… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @DrHMahmudMD Depends how you define false positive. If we get fact out that having nodules is normal, that overwhelmi… |
@LungRoadAhead The overall answers1.Drop prescan counsel, do after if nodule 2.Make community hosp w CT do screens as req of Medicare participation #lcsm | |
@DavidCookeMD This is important. Because the thoracotomy rate of NLST was exceedingly high, and not relevant to today practice. #LCSM | |
![]() | mimiprovenzano @MimiProvenzano @BrendonStilesMD and then trusts her MD. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T5. Vast majority of nodules can simply be followed up with another CT scan. #lcsm |
![]() | Brendon Stiles @BrendonStilesMD T5. Of the minority that grow or are highly suspicious at baseline, a diagnostic workup consisting of a biopsy and/or a PET scan should be performed. #lcsm |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: T5. What happens if a nodule is found during a lung cancer screening test? #lcsm |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @findlungcancer: T4 I want to talk more about the benefits - finding #lungcancer at stage T1a has 90+% 10 year survival - It is a CURE… |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T4 I want to talk more about the benefits - finding #lungcancer at stage T1a has 90+% 10 year survival - It is a CURE… |
@wickster55 RT @LungRoadAhead: T3. Referral to screening centers only a good option if patients can afford the has to travel there. Half of US are not… | |
![]() | Brendon Stiles @BrendonStilesMD T5. The PET scan can provide information on the likelihood of cancer and on potential spread, but a positive PET scan doesn’t always equal lung cancer. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. What happens if a nodule is found during a lung cancer screening test? #lcsm |
![]() | Bob Steele @steele_bob RT @BrendonStilesMD: T5. Vast majority of nodules can simply be followed up with another CT scan. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: The overall answers1.Drop prescan counsel, do after if nodule 2.Make community hosp w CT do screens as req of Medicare p… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: This is important. Because the thoracotomy rate of NLST was exceedingly high, and not relevant to today practice. #LCSM… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. Vast majority of nodules can simply be followed up with another CT scan. #lcsm |
@LungRoadAhead T5. Its not reinventing the wheel. A 6/12 mo CT f/u is what we have been doing on incidental nodules found on CT for years #lcsm | |
![]() | Brendon Stiles @BrendonStilesMD T5. Biopsies can be performed by CT guidance, by bronchoscopy, or surgically. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. Of the minority that grow or are highly suspicious at baseline, a diagnostic workup consisting of a biopsy and/or… |
![]() | Brendon Stiles @BrendonStilesMD T5. I strongly recommend preoperative non-surgical biopsy to patients with screen detected lung nodules given that the most nodules will be benign. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer T5 iexpect micronodules in this population of current & former heavy smokers; Brady McKee says nodules are like freckles to melanoma #lcsm |
@LungCancerFaces @BrendonStilesMD 🙄😂🙋🏻 | |
![]() | Brendon Stiles @BrendonStilesMD T5. Some centers may start with a surgical biopsy if the nodule is highly suspicious. This should be done minimally invasively and without anatomic lung resection if diagnosis is unknown. #lcsm |
@DavidCookeMD That horse new something... Equine #Lungcancerscreening #LCSM @ucdavisvetmed are you listening? | |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T5. Its not reinventing the wheel. A 6/12 mo CT f/u is what we have been doing on incidental nodules found on CT for yea… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. Biopsies can be performed by CT guidance, by bronchoscopy, or surgically. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T5 iexpect micronodules in this population of current & former heavy smokers; Brady McKee says nodules are like freckle… |
![]() | Bob Steele @steele_bob RT @findlungcancer: T5 iexpect micronodules in this population of current & former heavy smokers; Brady McKee says nodules are like freckle… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. Some centers may start with a surgical biopsy if the nodule is highly suspicious. This should be done minimally… |
![]() | Brendon Stiles @BrendonStilesMD T5. In general, resection of screen detected nodules is best handled by board certified thoracic surgeons. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD @BrendonStilesMD To my knowledge vast majority of nodules can also benign. #lcsm |
![]() | #LCSM Chat @lcsmchat #lcsm |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: T5. In general, resection of screen detected nodules is best handled by board certified thoracic surgeons. #lcsm |
![]() | Jean Parks @geekbabe My heart is broken, R.I.P. Barb450 from Inspire 😥#LCSM |
![]() | Brendon Stiles @BrendonStilesMD Or by the person that cuts @DavidCookeMd wife's hair. #lcsm |
@DavidCookeMD Or board eligible who have not yet taken their boards! #LCSM #MedEd @TSRA_official | |
![]() | Andrea Borondy Kitts @findlungcancer T5 important use appropriate nodule size for positive scan, LUNGRADS it's 6mm. Smaller nodules come back for the next annual scan #lcsm |
@LungRoadAhead T5. If suspicious features, biopsy-what we already do. Lung ca screening pre/post scan issues r being overthought relativeto other ca #lcsm | |
![]() | Hossen Mahmud, MD @DrHMahmudMD @BrendonStilesMD Agree @BrendonStilesMD @DavidCookeMD #lcsm |
@DavidCookeMD That would drive up healthcare costs. #LCSM | |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T5 important use appropriate nodule size for positive scan, LUNGRADS it's 6mm. Smaller nodules come back for the next a… |
![]() | #LCSM Chat @lcsmchat RT @LungRoadAhead: T5. If suspicious features, biopsy-what we already do. Lung ca screening pre/post scan issues r being overthought relati… |
@LungCancerFaces #lcsm | |
![]() | Jean Parks @geekbabe I love #LCSM but I have lost & grieve for so many friends. Get screened, call tomorrow so we don’t need this group anymore |
![]() | Andrea Borondy Kitts @findlungcancer T5 only small percentage of nodules require more than just follow-up imaging -- #lcsm |
@DavidCookeMD #BigTent #WeAreAllInThisTogether #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer RT @BrendonStilesMD: T5. In general, resection of screen detected nodules is best handled by board certified thoracic surgeons. #lcsm |
![]() | #LCSM Chat @lcsmchat RT @geekbabe: I love #LCSM but I have lost & grieve for so many friends. Get screened, call tomorrow so we don’t need this group anymore |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T5 only small percentage of nodules require more than just follow-up imaging -- #lcsm |
![]() | Brendon Stiles @BrendonStilesMD Almost time to wind the chat down. This has been a great discussion.#lcsm |
@DavidCookeMD Agree. Put me out of business so I can retire. @LungCancerFaces has been trying to get rid of me for years now. #LCSM | |
![]() | Brendon Stiles @BrendonStilesMD T5. In NLST data, there were less complications with minimally invasive resections and sublobar resections. #lcsm https://t.co/tvOGHDcgLi |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Agree. Put me out of business so I can retire. @LungCancerFaces has been trying to get rid of me for years now. #LCSM h… |
@DavidCookeMD RT @BrendonStilesMD: T5. In NLST data, there were less complications with minimally invasive resections and sublobar resections. #lcsm htt… | |
![]() | Brendon Stiles @BrendonStilesMD Doctors need patients and advocates to constructively share their stories and experiences. That is how we learn from you. Share stories about screen detected cancers. #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: T5. In NLST data, there were less complications with minimally invasive resections and sublobar resections. #lcsm htt… |
@LungCancerFaces RT @geekbabe: I love #LCSM but I have lost & grieve for so many friends. Get screened, call tomorrow so we don’t need this group anymore | |
![]() | Brendon Stiles @BrendonStilesMD Thanks to all of the #lcsm community who joined. And BIG thanks to all of our guests tonight. Great turnout! #lcsm |
![]() | Danielle Pardue @Actorielle RT @BrendonStilesMD: Doctors need patients and advocates to constructively share their stories and experiences. That is how we learn from… |
@DavidCookeMD RT @BrendonStilesMD: Doctors need patients and advocates to constructively share their stories and experiences. That is how we learn from… | |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: Doctors need patients and advocates to constructively share their stories and experiences. That is how we learn from… |
![]() | Hossen Mahmud, MD @DrHMahmudMD @BrendonStilesMD I prefer sublobar resections whenever it is possible. #lcsm |
![]() | Hossen Mahmud, MD @DrHMahmudMD RT @BrendonStilesMD: Thanks to all of the #lcsm community who joined. And BIG thanks to all of our guests tonight. Great turnout! #lcsm |
![]() | Danielle Pardue @Actorielle Thank you so much, friends. Always a pleasure. <3 #lcsm |
@DavidCookeMD Thanks to @BrendonStilesMD for expert moderating! #LCSM | |
![]() | Danielle Pardue @Actorielle @BrendonStilesMD Thank YOU! |
@LungCancerFaces Silly, I want you to have tons more biz. Get it early. Get it out. LIVE. #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer T5 @brendanStilesMD you should show some of the great results you presented at IELCAP #lcsm |
![]() | Stephen V Liu, MD @StephenVLiu @BrendonStilesMD And lung cancer growth is not linear or predictable. |
![]() | Brendon Stiles @BrendonStilesMD Now is the best chance we are going to get to move the needle on CT screening for lung cancer. We have to make the voice of this community heard. #lcsm |
![]() | Andrea Borondy Kitts @findlungcancer Yes great job moderating @brendanstilesMD #lcsm |
![]() | Upstage Lung Cancer @UpstageLungCanc Thank you! An honor to be part of this phenomenal community. #LCSM |
@DavidCookeMD Amen! #LCSM #LungCancerScreening saves lives!! | |
![]() | #LCSM Chat @lcsmchat RT @LungCancerFaces: Silly, I want you to have tons more biz. Get it early. Get it out. LIVE. #LCSM https://t.co/rAKB3X6sfm |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: T5 @brendanStilesMD you should show some of the great results you presented at IELCAP #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @DavidCookeMD: Amen! #LCSM #LungCancerScreening saves lives!! https://t.co/OOlA6ADd6X |
@DavidCookeMD RT @BrendonStilesMD: Now is the best chance we are going to get to move the needle on CT screening for lung cancer. We have to make the vo… | |
![]() | Danielle Pardue @Actorielle RT @DavidCookeMD: Amen! #LCSM #LungCancerScreening saves lives!! https://t.co/OOlA6ADd6X |
@LungCancerFaces Thank you to @BrendonStilesMD for moderating tonight's chat. May you have more early stage lung cancers than you can handle. #lcsm | |
![]() | Devika Das, MD, MSHQS @DevikaDasMD @BrendonStilesMD Thank you for moderating -First time joining a chat - was slow and could not keep up but I am definitely coming back ! #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @LungCancerFaces: Thank you to @BrendonStilesMD for moderating tonight's chat. May you have more early stage lung cancers than you can h… |
@DavidCookeMD RT @LungCancerFaces: Thank you to @BrendonStilesMD for moderating tonight's chat. May you have more early stage lung cancers than you can h… | |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Amen! #LCSM #LungCancerScreening saves lives!! https://t.co/OOlA6ADd6X |
![]() | #LCSM Chat @lcsmchat RT @LungCancerFaces: Thank you to @BrendonStilesMD for moderating tonight's chat. May you have more early stage lung cancers than you can h… |
![]() | JennaKLovelyPharmD @jenna_k_lovely RT @MayoCancerCare: New technology overcomes false positives in CT for #LungCancer - Researchers used radiomics to test variables to distin… |
![]() | yetAnotherName @glostaMAssachu RT @LungCancerFaces: Thank you to @BrendonStilesMD for moderating tonight's chat. May you have more early stage lung cancers than you can h… |
![]() | Brendon Stiles @BrendonStilesMD Lives truly depend upon increasing uptake of lung cancer screening. Let's set a short term goal of getting the current 10% rate up to 50%. #lcsm |
@DavidCookeMD Awesome! Bring a colleague. Bring a friend. Tell your patients! #LCSM | |
![]() | Andrea Borondy Kitts @findlungcancer CT It's time to stop "To screen or not to screen" discussion; it's time 4 1000% effort to get screen folks; anything less unethical #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @DavidCookeMD: Awesome! Bring a colleague. Bring a friend. Tell your patients! #LCSM https://t.co/qkOzt7Pj7r |
![]() | Bob Steele @steele_bob Great LCSM chat session, as always! Best to all, see you in two weeks! #lcsm |
![]() | Jean Parks @geekbabe 4 yrs living with stage IV lung cancer, save yourself & your loved ones a lot of misery. You got lungs? Go get them screened! #LCSM |
@DavidCookeMD RT @steele_bob: Great LCSM chat session, as always! Best to all, see you in two weeks! #lcsm | |
![]() | Bob Steele @steele_bob RT @DavidCookeMD: Amen! #LCSM #LungCancerScreening saves lives!! https://t.co/OOlA6ADd6X |
![]() | Suzy Spencer @spencerwriter RT @BrendonStilesMD: Now is the best chance we are going to get to move the needle on CT screening for lung cancer. We have to make the vo… |
![]() | Upstage Lung Cancer @UpstageLungCanc RT @BrendonStilesMD: Lives truly depend upon increasing uptake of lung cancer screening. Let's set a short term goal of getting the curren… |
![]() | mimiprovenzano @MimiProvenzano RT @geekbabe: 4 yrs living with stage IV lung cancer, save yourself & your loved ones a lot of misery. You got lungs? Go get them screened!… |
![]() | Brendon Stiles @BrendonStilesMD @LungCancerFaces Sweeter words were never spoken to a thoracic surgeon. I get immense joy from removing an early stage cancer. Would like to think that it makes my dad happy somewhere. #lcsm |
![]() | Danielle Pardue @Actorielle RT @findlungcancer: CT It's time to stop "To screen or not to screen" discussion; it's time 4 1000% effort to get screen folks; anything le… |
@DavidCookeMD RT @geekbabe: 4 yrs living with stage IV lung cancer, save yourself & your loved ones a lot of misery. You got lungs? Go get them screened!… | |
![]() | Brendon Stiles @BrendonStilesMD @findlungcancer We just did at #WCLC2018 and actually at the last I-ELCAP in NY. #lcsm |
@LungCancerFaces RT @BrendonStilesMD: @LungCancerFaces Sweeter words were never spoken to a thoracic surgeon. I get immense joy from removing an early stag… | |
![]() | Andrea Borondy Kitts @findlungcancer RT @BrendonStilesMD: @findlungcancer We just did at #WCLC2018 and actually at the last I-ELCAP in NY. #lcsm |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: Doctors need patients and advocates to constructively share their stories and experiences. That is how we learn from… |
@LungCancerFaces @BrendonStilesMD My mom would have adored you. xo | |
![]() | Brendon Stiles @BrendonStilesMD Good night everyone. Thanks for joining! #lcsm is a great community. Let's call it to action and move the needle on lung cancer screening. |
![]() | mimiprovenzano @MimiProvenzano RT @BrendonStilesMD: T5. I strongly recommend preoperative non-surgical biopsy to patients with screen detected lung nodules given that th… |
![]() | #LCSM Chat @lcsmchat RT @DavidCookeMD: Awesome! Bring a colleague. Bring a friend. Tell your patients! #LCSM https://t.co/qkOzt7Pj7r |
![]() | #LCSM Chat @lcsmchat RT @findlungcancer: CT It's time to stop "To screen or not to screen" discussion; it's time 4 1000% effort to get screen folks; anything le… |
![]() | #LCSM Chat @lcsmchat RT @geekbabe: 4 yrs living with stage IV lung cancer, save yourself & your loved ones a lot of misery. You got lungs? Go get them screened!… |
@ 🏃🏾♀️...buying my lotto tickets... ▪️ ▪️ #dermlife #dermatologist #dermatology #drgoodfood #dermmemes #medicine #medlife #notenoughmoney #physician #wtf https://t.co/m3EskpddEe | |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: @LungCancerFaces Sweeter words were never spoken to a thoracic surgeon. I get immense joy from removing an early stag… |
![]() | #LCSM Chat @lcsmchat RT @BrendonStilesMD: Good night everyone. Thanks for joining! #lcsm is a great community. Let's call it to action and move the needle on… |
![]() | Vibing with Donielle Podcast @VibingwDonielle RT @BioHackHumans: The #wimhofmethod can be described as conditioning one's self through breath to indoor extreme temperatures and possibly… |
![]() | Drew Moghanaki @DrewMoghanaki @BrendonStilesMD @arbmckee [REDACTED USER] @lcsmchat @DavidCookeMD @TomVargheseJr @SBroderickMD @steele_bob [REDACTED USER] [REDACTED USER] @ShandaBlackmon [REDACTED USER] Be nice. |
![]() | Brendon Stiles @BrendonStilesMD @VamsiVelcheti Intriguing scientific idea which we have also considered, but yikes. Don’t forget surgery and radiation can already cure these things. #lcsm |
