Of those newly eligible under 2021 criteria, 2,063,840 were aged 50 to 54 years and 4,020,879 had 20 to 29-pack-year smoking history

Updated guidelines recommend annual screening for those aged 50 to 80 years who currently smoke, or formerly smoked

PLCOm2012 models have higher sensitivity than USPSTF criteria, with no difference by Indigenous classification

Model relies only on age, smoking duration, and pack-years

Meta-analysis only shows a 110-day survival benefit for colorectal cancer screening with sigmoidoscopy

Single-site cancer screening could save an additional 3.2 to 5.1 million life-years with perfect adherence

AUROC estimate of four-marker protein panel plus PLCO<sub>m2012</sub> was 0.88 for risk prediction of lung cancer death

Yet, variation in uptake seen by geography, race, smoking history, and age

Black veterans had 34 percent lower odds of screening completion versus White veterans

Risk model-based lung cancer screening strategy more cost-effective than 2021 USPSTF recommendations