canada goose clearance sale Life saving lung cancer test to set off cost debate
cheap Canada Goose NEW YORK (Reuters) A landmark study showing that routine lung screening of heavy smokers and former smokers using low dose CT scans could save thousands of lives is sure to set off a fierce debate about the cost of such testing on an overburdened healthcare system. National Cancer uk canada goose outlet Institute studied more than 53,000 people between the ages of canada goose clearance 55 and 74 deemed at high risk of developing lung Canada Goose Online cancer. It found that screening with the three dimensional X rays cut deaths by 20 percent.
canada goose coats on sale Details of the study and a discussion of its implications were published on Wednesday in the New England Journal of Medicine, lending additional weight to initial findings that were released in November.
The discussion noted that radiologists using more advanced CT equipment than was available for the study could lead to an Canada Goose Jackets even larger reduction in lung cancer deaths. At the same time, the potential for many more false positive results could rise.
Some cancer experts say the results demand CT screening for high risk individuals become the standard of care.
this large a study that was so carefully done, it becomes the cheap Canada Goose gold standard and it should become practice, Canada Goose Coats On Sale said Dr. Stan Gerson, director of canada goose uk shop the Seidman Cancer Center at the University Hospitals canadian goose jacket Case Medical Center in Cleveland.
Canada Goose Outlet Lung cancer is by far the leading cancer killer in the United States, with more canada goose than 157,000 deaths annually. Caught early, it can be cured surgically, but it is typically not diagnosed until it has spread. Only about 15 percent of lung cancer patients live 5 years or more.
canada goose store Gerson hospital began such screenings this month at a reduced rate of $99 while it is not yet covered by insurance.
Canada Goose sale He and other doctors face an uphill battle to convince government programs and health insurers to pay for routine testing of millions of people, just as they try to rein in ballooning costs.
canada goose clearance public policy recommendations are crafted, the cost effectiveness of low dose CT screening must be rigorously analyzed, the New England Journal article Canada Goose sale said. The cost includes not just screening, but also the expense of diagnostic follow up and treatments.
It said some 7 million people canada goose store in cheap canada goose uk the United States would qualify for screening based on the trial criteria, out of 94 million current and former smokers and many more exposed to secondhand smoke.
NEW SCREENING GUIDELINES Dr Bruce Johnson of the Dana Farber Cancer Institute in Boston and a member of the American Society of Clinical Oncology (ASCO) board of directors said the organization is examining the most appropriate way to implement the findings.
ASCO is working uk canada goose with the National Comprehensive Cancer Network, Canada Goose Outlet the American Cancer Society canada goose black friday sale and the American College of Chest Physicians to come up canada goose coats on sale with clinical practice guidelines a matter of months, Canada Goose online Johnson said.
canada goose deals think this buy canada goose https://www.uscanadagooseoutletsale.com jacket is going to change the paradigm, he said. based on what was released, if a family member canada goose or loved one fit the study criteria I would have recommended to them that they get a screening CT scan.
buy canada goose jacket you were to implement this in a broad population it very expensive, Johnson admitted. a setting of infinite resources it absolutely should be offered.
buy canada goose jacket cheap But the debate over who will shoulder the financial burden of millions of tests that currently cost about $300 canada goose uk black friday to $500 each may rage long after the new canada goose uk outlet guidelines are issued.
cancer kills canada goose factory sale more people than breast cancer, prostate cancer and colon combined and they all have routine screening, said Dr Michael Brant Zawadzki, from Hoag Memorial Hospital in Newport Beach, California, and an adjunct clinical professor of radiology at Stanford University who was not involved in the study.
canadian goose jacket The cost buy canada goose jacket cheap and value of routine screening for Canada Goose Parka all canada goose coats three of those cancers have been hotly debated and all were deemed to be worthy of coverage by Medicare and health insurers.
canada goose black friday sale Brant Zawadzki said the National Lung Screening Trial had an extremely high threshold to prove the life saving value of CT screening.
Subjects in the study received either three annual CT scans or standard chest X rays and were followed for eight years to yield the results.
trial unabashedly, definitively proved it saves lives way more than mammography has proved it saves lives, he said. the real debate is how much are we willing to spend to save lives in a population that we know we can save lives in. It may take an act of Congress that makes this decision.
There is little consensus among healthcare providers over whether the life saving CT screening could ultimately save healthcare costs down the road.
Canada Goose Jackets Gerson believes that early detection, followed by surgery, would save the costs now paid for patients diagnosed when the disease is more advanced, including dozens of medical visits within a year and expensive drugs.
Brant Zawadzki, while fiercely advocating for CT screening, said it can only raise healthcare costs. He said because lung cancer is usually diagnosed late and most patients die within five years, it is currently canada goose clearance sale one of the least expensive major cancers in terms of overall cost.
canada goose Johnson said it was extremely difficult to know what the ultimate burden on the system might be.
you do something that makes people live longer you potentially add more healthcare costs because the people live a long time, he said.
Canada Goose online But there is one lung cancer strategy on which all interested parties are in complete agreement.
canada goose coats far the most effective cost benefit is doing everything we can to get people to not start smoking and getting people who are smoking to quit, Johnson said.