From April, heavy smokers aged 50 to 75 in Germany can access an annual free lung cancer screening. The program uses low-dose computed tomography to detect cancer early. It targets current and former smokers with at least 15 pack-years of smoking.
The Joint Federal Committee (GBA) has approved a new lung cancer early detection program effective from April 2024. Heavy smokers aged 50 to 75 are eligible for an annual screening using low-dose computed tomography (NDCT). "The goal is to detect lung cancer as early as possible in this particularly at-risk group," the GBA stated in a press release.
The program is based on a GBA decision and the Federal Ministry of the Environment's Lung Cancer Early Detection Ordinance. It is covered by statutory health insurers. To qualify, individuals must have smoked for at least 25 years without long interruptions and have at least 15 pack-years. One pack-year equals smoking 20 cigarettes per day for one year. Experts estimate that around 2 million people in Germany meet these criteria.
Implementation requires preparations. Bernhard van Treeck, impartial GBA member and chair of the Subcommittee on Methods Assessment, noted: "Doctors who assess eligibility for screening and refer patients to radiological practices need special training." Radiologists must also complete specific training and obtain approval from a panel doctors' association to perform and evaluate NDCT scans.
Insured individuals can approach participating general or internal medicine practices. The doctor verifies suitability. It may take time before the screening is widely available, as qualifications need to be acquired.
Early detection of lung cancer improves cure rates and reduces deaths, as emphasized by the initiators. The announcement was made in Berlin.
