{"doi":"10.7326/annals-25-00464","title":"Eligibility and Prognostic Performance of Smoking Duration–Based Versus Pack-Year–Based U.S. National Lung Cancer Screening Criteria Across Racial and Ethnic Groups","abstract":"BACKGROUND: The U.S. Preventive Services Task Force expanded lung cancer (LC) screening eligibility in 2021 (USPSTF-2021) by decreasing the minimum number of smoking pack-years from 30 to 20. Underrepresented minorities still experience disparities in screening eligibility. OBJECTIVE: ) model (secondary outcome) across diverse racial and ethnic groups. DESIGN: Prospective, population-based Multiethnic Cohort linked to SEER (Surveillance, Epidemiology, and End Results) registries. SETTING: California and Hawai'i, with recruitment from 1993 to 1996. PARTICIPANTS: 105 261 adults aged 45 to 75 years with a history of smoking. MEASUREMENTS: Hypothetical eligibility and prognostic performance (sensitivity and specificity) in detecting 6-year LC. RESULTS: 6-year threshold of 1.1% improved both sensitivity and specificity in the overall cohort. However, it widened the eligibility gap between Latinos and Whites (14.4% vs. 31.3%) and demonstrated lower sensitivity in Latinos than duration-based criteria (59.7% vs. 69.8%). LIMITATIONS: Cohort geography and enrollment period may limit generalizability. Overdiagnosis was not measured. CONCLUSION: Compared with USPSTF-2021, the 30-year duration-based criteria could reduce the eligibility gaps among African Americans and Latinos relative to Whites while improving 6-year LC detection sensitivity across all races. PRIMARY FUNDING SOURCE: National Institutes of Health.","journal":"Annals of Internal Medicine","year":2025,"id":535773,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9475,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":645922,"name":"Victoria Y. Ding","orcid":"0000-0002-2049-9051","position":1,"is_corresponding":false},{"id":317246,"name":"Kevin ten Haaf","orcid":"0000-0001-5006-6938","position":2,"is_corresponding":false},{"id":105180,"name":"Julie Wu","orcid":"0000-0003-2388-1827","position":3,"is_corresponding":false},{"id":241828,"name":"Neal D. Freedman","orcid":"0000-0003-0074-1098","position":4,"is_corresponding":false},{"id":252130,"name":"Leah M. Backhus","orcid":"0000-0002-4553-1003","position":5,"is_corresponding":false},{"id":280854,"name":"Ann N. Leung","orcid":"0000-0001-7807-2643","position":6,"is_corresponding":false},{"id":252129,"name":"Natalie S. Lui","orcid":"0000-0002-6602-6372","position":7,"is_corresponding":false},{"id":11270,"name":"Christopher A. Haiman","orcid":"0000-0002-0097-9971","position":8,"is_corresponding":false},{"id":543596,"name":"Sungshim Lani Park","orcid":null,"position":9,"is_corresponding":false},{"id":32044,"name":"Joel W. Neal","orcid":"0000-0003-3119-9334","position":10,"is_corresponding":false},{"id":218026,"name":"Rafael Meza","orcid":"0000-0002-1076-5037","position":11,"is_corresponding":false},{"id":317247,"name":"Martin C. Tammemägi","orcid":"0000-0002-4989-5058","position":12,"is_corresponding":false},{"id":252204,"name":"Iona Cheng","orcid":"0000-0003-4132-2893","position":13,"is_corresponding":false},{"id":728,"name":"Loı̈c Le Marchand","orcid":"0000-0001-5013-980X","position":14,"is_corresponding":false},{"id":252134,"name":"Heather A. Wakelee","orcid":"0000-0003-1136-980X","position":15,"is_corresponding":false},{"id":630693,"name":"Eunji Choi","orcid":"0000-0003-1315-1433","position":16,"is_corresponding":false},{"id":236423,"name":"Summer S. Han","orcid":"0000-0002-2013-6883","position":17,"is_corresponding":false},{"id":710033,"name":"Chloe C. Su","orcid":"0000-0002-2204-3314","position":0,"is_corresponding":true}],"reference_count":45,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:52:00.885532Z","pmid":"41397256","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}