{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:09:53Z","timestamp":1789153793345,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Survivors of head and neck cancer are at elevated risk for secondary primary lung cancer, independent of smoking history, yet LDCT screening in this population is both likely underutilized and inconsistently captured in national survey data, in part because the smoking\u2010history elements needed to determine eligibility are often missing. We used nationally representative 2022 Behavioral Risk Factor Surveillance System data to examine lung cancer screening prevalence among head and neck cancer survivors and screening patterns by eligibility under 2013 and 2021 US Preventive Services Task Force criteria. More than one\u2010third of survivors lacked sufficient information on smoking history to assess eligibility. Screening was highest among survivors meeting 2013 criteria (64%) compared with those eligible under 2021 criteria (40%) and those ineligible under either criterion (32%). The 2021 criteria expansion increased the number of survivors eligible for screening but did not translate into a proportional increase in CT scanning rates. These findings suggest that eligibility expansion alone may be insufficient without systematic collection of smoking history and streamlined referral pathways.<\/jats:p>","DOI":"10.1002\/ohn.70441","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:47:27Z","timestamp":1789152447000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung Cancer Screening Among Head and Neck Cancer Survivors"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7269-4641","authenticated-orcid":false,"given":"Anna R.","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wayne State University School of Medicine Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Cramer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Wayne State University School of Medicine Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"issue":"12","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1001\/jamaoto.2021.2776","article-title":"Incidence of second primary lung cancer after low\u2010dose computed tomography vs chest radiography screening in survivors of head and neck cancer: a secondary analysis of a randomized clinical trial","volume":"147","author":"Cramer JD","year":"2021","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"3","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.cllc.2019.02.017","article-title":"Second primary non\u2013small\u2010cell lung cancer after head and neck cancer: a population\u2010based study of clinical and pathologic characteristics and survival outcomes in 3597 patients","volume":"21","author":"Budnik J","year":"2020","journal-title":"Clin Lung Cancer"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanepe.2021.100179","article-title":"Lung cancer mortality reduction by LDCT screening: UKLS randomised trial results and international meta\u2010analysis","volume":"10","author":"Field JK","year":"2021","journal-title":"Lancet Reg Health Eur"},{"issue":"2","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","DOI":"10.1148\/rycan.2020190058","article-title":"Low\u2010dose CT screening for lung cancer: evidence from 2 decades of study","volume":"2","author":"Gierada DS","year":"2020","journal-title":"Radiol Imaging Cancer"},{"issue":"6","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1093\/oxfordjournals.aje.a009487","article-title":"Validity of self\u2010reported cancers in a propsective cohort study in comparison with data from state cancer registries","volume":"147","author":"Bergmann MM","year":"1998","journal-title":"Am J Epidemiol"},{"issue":"6","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1056\/NEJMoa1911793","article-title":"Reduced lung\u2010cancer mortality with volume CT screening in a randomized trial","volume":"382","author":"Koning HJ","year":"2020","journal-title":"N Engl J Med"}],"container-title":["Otolaryngology\u2013Head and Neck 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