New Early Guideline Detection for Lung Cancer in the State of Oregon (by Jen Crowder)

My research question is What is being done to detect lung cancer early? The connection between my research collection and my public writing is a searched for advances in detecting lung cancer early in Americans. I in turned wrote a letter to Governor Kitzhaber asking him what he plans to do help implement the new early detection guidelines in the state of Oregon.

Research Collection

First Popular Article

Charles, Katie “Daily Check Up: Beating Lung Cancer” New York Daily News Sunday, November 17th, 2013,2:00am;

The summary of the article talks about how lung cancer is the leading killer in the US and how many people died from it. It goes on to touching about the different types of the lung cancer, who should be tested and why it can go undetected. Preceding, following the different types of treatments and breakthrough thoughts with in the medical community then wrapping up with questions for your doctor.

The article is important because it introduces the audience to lung cancer and the facts and figures of lung cancer. It in some ways it gives some hope to people that are possibility sick already or who could be sick and questions that they could ask their doctors. It breaks down the treatments that they could get.

Second Popular Article

“Older Heavy Smokers New Guideline Test” New York Daily News; The Associated Press Monday, May 21, 2012,10:20am:

The article talks about who should and who shouldn’t get tested according to the new guidelines that have been published by the American College of Chest Physicians, American Society of Clinical Oncology and the National Comprehensive Cancer Network. It brings up the statics of lung cancer and how they have gone up from two years ago. Unfortunately, while reading the article there is a debate about getting a CT and the pros and cons to it and if the risk is work it.

It shows the heavy hitters out their when it comes to making the changes in guidelines are coming together to make a difference and an improvement for the lives of general population. It talks about who can get cancer and why smoking is really bad for you. For those who don’t smoke what they should watch you for so they decrease their chances of getting lung cancer.

First Scholarly Article

Peter B. Bach, MD, MAPP; Joshua N. Mirkin, BA; Thomas K. Oliver, BA; Christopher G. Azzoli, MD; Donald A. Berry, PhD; Otis W. Brawley, MD; Tim Byers, MD, MPH; Graham A. Colditz, MD, DrPH; Michael K. Gould, MD, MS; James R. Jett, MD; Anita L. Sabichi, MD; Rebecca Smith-Bindman, MD; Douglas E. Wood, MD; Amir Qaseem, MD, PhD, MHA; Frank C. Detterbeck, MD.

Benefits and Harm of CT Screening for Lung Cancer: A Systematic Review JAMA(2012): n.g. Web 12th November 2013.

It’s a pretty big article that I got off of JAMA and it talks about who gets lung cancer, who is at risk and about the new guidelines. Of course, when you get a group of doctors together who get a debate about the best approach to getting the info to the public, the treatment and preventions options. They also, discuss why smoking is bad and what smoking a pack of cigarettes can do to your lungs over time and why it is so important to quit. They also touch base with the same percentage that gets lung cancer from toxins and environmental elements to.

This one shows that there is debate in the medical community about what needs to be done when it comes to lung cancer. Even, with the debate that is going on they have made changes to the guidelines to get lung cancer diagnosed earlier and what could be and is being done to detect in earlier so there are less death in the US.

Second Scholarly Article

Phillip M. Boiselle, MD.”Computed Tomography Screening for Lung Caner”; 2013. Web. 12th November 2013.

Dr. Boiselle really breaks down a CT , what a CT is, what it stands for and why it is so important to get a Ct in the early detection of lung cancer, and how a CT works. Dr. Boislle compares the use of a chest X-ray versus a CT. She does on to talk about how the question of lung cancer is only being asked by the patients that have lung cancer and their health care practitioners and what can be done to fix it.

Public Writing

Governor Kitzhaber

Attn.: Citizens’ Representative

160 State Capitol

900 Court Street

Salem, Oregon 97301-4047​

RE: Lung Cancer Awareness


Dear Governor Kitzhaber,

I am a resident of Portland, Oregon and I am wondering what is going to be done to detect lung cancer earlier for residents in the state of Oregon.


In an article with JAMA a new annual guideline screening for lung cancer has been recommend by three medical groups: American College of Chest Physicians, the American Society of Clinical Oncology and the National Comprehensive Cancer Network. The screen is gear mostly for older groups and for former heavy smokers between the ages of 55 to 74. A low-dose CT scans, which is like a special kind of X-ray that can detect lung cancer early.


As a younger Oregonian, I am concern that with the lung cancer killing an estimated 160,000 Americans just last year and at least 2,000 of those deaths accorded in Oregon alone. Granted Oregon is down 1,200 from the national state per cap average of 3,200 a year from lung cancer. I am asking if you plan that all hospitals, doctors offices and clinics to make this more than a recommended but a mandatory screening. This way we can bring down the number of deaths that lung cancer kills yearly; not to mention increasing the chances of lung cancer being detected earlier. Dr. Raja Flores a chief of thoracic surgery at Mount Sinai said “We catch lung cancer early, we can remove it surgically; 80% to 85% of lung cancers caught at stage 1 can be cured.” Doctor Flores made this statement in an article on the New York Daily News.


I am specifically writing you to encourage you to make this more than just a recommend screening but to make a mandatory annual screening, so that those who do have lung cancer it can be detected sooner and treat sooner increasing the survival rate. I moving statement that Dr. Raja Flores said in article was that “People can actually live well with only one lung. I have a patient who bikes 15 miles a day with one lung.” Can you imagine the hope that can give a person; let alone a person that has lung cancer? This way no one may not have to lose their grandfather to lung cancer like I did

Thank you for considering this matter.


Jennifer Crowder



  1. Your research is interesting. I am amazed with the number of deaths due to lung cancer and what is not being done to detect early. Your two first summary articles are well explained in detail that I almost didn’t have to go back and read the article myself. It would be great for lung cancer to be detected early but not just lung cancer every kind of cancer that is possible and they should have people be more aware of them.
    On your two last articles it had less understanding maybe explaining a little more about the debate going on. I enjoyed reading your letter it showed where you obtain your information that way the governor will know you did your research. it might make it more interesting if you add a personal story of anyone in your life has lung cancer. Thank you for your research I learned many new things that I was not aware of. Also, thank you for the first article that gives the questions that someone can ask to a doctor that way I can share it with others.

  2. Jen,
    With being involved in the fire service it is good to see that someone is addressing the topic of lung cancer. This of course is not only a major issue with firefighters but also a problem among citizens as well. I had no idea how many people have died due to lung cancer. It would have been good to hear about facts such as life expectance, signs and symptoms of lung cancer, and what the disease process is.
    I personally had a grandfather that died of lung cancer and it was not a pretty process. I was long and painful for him. Was there much an argumentative debate regarding the time span and who should get tested and when? Thank you for the eye opening topic.

  3. You write a very solid and authoritative letter to the governor here. Let us know when you hear back by posting here!

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