Lung cancer continues to be leading cause of cancer deaths in Nevada. Despite years of progress in screening and medical advances, lung cancer continues to be the leading cause of cancer death among Nevadans – and across the U.S. This year it’s estimated that 2,030 Nevadans will have been diagnosed with lung cancer and close to 1,170 people will die of the disease.

November is Lung Cancer Awareness Month and an opportunity to educate the community about screening for lung cancer and how to reduce the risk for getting the disease.

“Lung cancer is much more common than many people realize, but there has been a stigma associated with the disease that has led many to avoid discussing it,” Cari Herington, executive director of Nevada Cancer Coalition, said. “Yet as with all cancers, the more you know, the better. Advances in screening for lung cancer – with low-dose computed tomography or LDCT – can help people find lung cancers earlier when they’re easier to treat and much more survivable. We want Nevadans to know that talking about lung cancer and lung cancer screening is vital to saving lives and helping to reduce the stigma related to the disease.”

In Nevada, only about 1% of those who are at high risk for lung cancer have been screened for the disease. Health care providers say getting more people screened will help to save lives by finding cancers earlier when they’re easier to treat.

The guidelines for lung cancer screening were expanded in 2021 to include millions more people at risk. The recommendation is for adults ages 50-80 who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years to be screened annually. (Twenty pack years would equal one pack a day for 20 years, or two packs a day for 10 years.)

Herington says that in Nevada, there are some unique challenges to reducing lung cancer deaths.

“People living in our rural communities have higher rates of tobacco use and lower rates of LDCT screening,” she said. “Fortunately, many health care partners in the state are working to change that. We’re getting more people to quit smoking with help from the Nevada Tobacco Quitline, and places like Northeastern Nevada Regional Hospital in Elko have started lung cancer screening programs to expand access to screening. We’re making progress, and now we need to continue spreading the word.”

Most major hospitals across Nevada have LDCT screening available, and any primary health care provider can counsel their patients on whether lung cancer screening is right for them. The screening exam is covered by Medicare and Medicaid and most insurance providers for those who meet screening eligibility guidelines. Lung cancer is caused by more than just tobacco use. People exposed to secondhand smoke, elevated levels of radon in their homes or workplaces, air pollution high in particulate matter, and other carcinogens, are also at increased risk for lung cancer.

Screening/Early Detection

The U.S. Preventive Services Task Force in 2021 updated its recommendations for lung cancer screening, broadening access for millions. The recommendation is:

• For adults ages 50-80, who have a 20 pack-year smoking history and currently smoke or who have quit within the past 15 years, screening with low-dose computed tomography (LDCT) should be done. In Nevada, about 1% of those at high risk for lung cancer were screened, placing Nevada 49th among all states for lung cancer screening.
• Some people do not get screened for lung cancer, or treatment after diagnosis because of stigma associated with lung cancer. Reducing stigma is important to improving early detection and lowering mortality for lung cancer.

Prevention

• Tobacco use is the leading cause of lung cancer – with smoking and secondhand smoke exposure both shown to cause the disease. Those who smoke should quit, and those who can avoid secondhand smoke exposure should.
• Radon, a colorless and odorless gas that can seep into homes and buildings through the ground. Is the second leading cause of lung cancer. People can test homes, schools, offices and other buildings for radon and install devices to lower elevated radon levels.
• Air pollution, such as long-term exposure to outdoor particle pollution, can also cause lung cancer.

Quick Facts

• The American Cancer Society estimates 2,030 Nevadans will be diagnosed with lung cancer in 2022 and 1,170 will die of the disease.
• Lung cancer is the #1 cancer killer in Nevada by far, taking the lives of more people each year than colorectal and breast cancer combined.
• Many disparities exist with lung cancer. According to the American Association of Cancer:
  • Lung cancer is more common in rural communities, mostly due to higher rates of tobacco use and lower rates of low dose CT screening. Rural patients also have a 34% higher death rate from lung cancer than urban patients.
  • Those living in persistent poverty have a 16.5% higher mortality rate from lung cancer. Communities with persistent poverty are more likely to have higher cancer risk factors, including cigarette smoking, less access to health care, less formal education, higher unemployment and larger populations of racial/ethnic minorities.

Resource Links

• Lung Cancer Screening
• Nevada Tobacco Quitline
• Nevada Radon Education Program
• American Lung Association’s 2021 State of Lung Cancer in Nevada

Partner Tools and Resources

For Patients and/or Providers

• GO2 Foundation For Lung Cancer
• LuCa National Training Network
• The White Ribbon Project
• Saved by the Scan

On YouTube

• Dr. Reka Danko talks about the Nevada Tobacco Quitline
• Because We Matter from SNHD (men) and (women)
• Get Screened from Saved by the Scan
• Meet the Scan from Saved by the Scan
• Lung Cancer Screening with CT, from Mayo Clinic
• Low Dose CT Screening
• Lung Cancer Facts and Screening for Veterans
• Lung Cancer Patient Stories
• Emily, Stage 4 Lung Cancer Survivor Story
• Project ECHO: Impacts of Tobacco Cessation on Cancer Survivorship
• Brief Intervention & E-Referral Training for Health Care Providers (tobacco cessation) from SNHD
• Nevada Adult Tobacco Survey 2022 Highlights from SNHD
• Project ECHO: How to Get Results with Tobacco Cessation
• Tips from Former Smokers, full playlist
• MMWR Lung Cancer Screening Abstract