Increase the proportion of adults who get screened for lung cancer — C‑03 Data Methodology and Measurement

About the National Data

Data

Baseline: 4.5 percent of adults aged 55 to 80 years received a lung cancer screening based on the most recent guidelines in 2015

Target: 7.5 percent

Numerator
Number of adults aged 55 to 80 years with a 30-pack-year smoking history, and who are currently smoking or quit in the past 15 years, screened for lung cancer in the last 12 months.
Denominator
Number of adults aged 55 to 80 years with a 30-pack-year smoking history and who are currently smoking or quit in the past 15 years.
Target-setting method
Minimal statistical significance
Target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
Target-setting method justification
Trend data were not available for this objective. The standard error was used to calculate a target based on minimal statistical significance, assuming the same standard error for the target as for the baseline. This method was used because lung cancer screening is a relatively new intervention that gained attention following release of a B recommendation from the U.S. Preventive Services Task Force in 2013. The target reflects a conservative increase in the implementation of this complex and expensive screening intervention.

Methodology

Methodology notes

Data include persons who have a 30 pack-year smoking history and currently smoke or have quit smoking within the past 15 years. Healthy People 2030 uses the U.S. Preventive Services Task Force (USPSTF) recommendations to measure this objective and the current USPSTF guidelines (Grade B) recommend annual screening for lung cancer with low-dose computed tomography (LDCT) in adults 55 to 80 years who meet the smoking criteria. The USPSTF guidelines recommend screening be discontinued once a person has not smoked for 15 years or develops a health problem that limits life expectancy or the ability to have curative lung surgery.