Computed Tomography Screening and Lung Cancer Outcomes



Read the article yesterday in the NY Times before perusing the source in JAMA. Very sobering.
I'm hardly an expert in epidemiology, but the vastly different assessment methods in the studies out there could make me even more cynical than I am already.
In the context of this study, just what are the differing inferences one can make from "survival" vs. death rates?
I understand that this seems to be pointing to a rational basis for public health policy, but what does it mean for clinical decision making on patients?
My personal interest is that my dad had a lobectomy 5 months ago for what was diagnosed as stage 1B primary adenoca. He is doing well.




http://tinyurl.com/369dfa

TIA for your thoughts.

Steve
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