Evidence-Based Lung Cancer Screening in a Tailored Package.

Cancer screening practices are amalgamated into the entire spectrum of cancer prevention efforts that range from primary prevention (e.g., avoiding tobacco and limiting sun exposure) to screening measures after risk assessment (mammography, colonoscopy, pap smears, etc.) and tertiary measures (e.g., lesion ablation after identification and cancer follow-up examinations for secondary primaries). Marginalized groups often have difficulty gaining access to screening, and improving screening rates is challenging. The Tribally Engaged Approaches to Lung Screening (TEALS) study for lung cancer screening in the American Indian/Alaska Native population in Oklahoma represents a comprehensive effort that has significantly improved lung cancer screening for high-risk individuals on the Choctaw Nation. See related article by Nagykaldi et al., p. 423.