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Sensitivity of the proposed guideline using different smoking duration thresholds is shown in the Data Supplement (Table S4)

Smoking rates have declined since the 1960s, but it remains the leading cause of preventable death in the U.S., killing more than 480,000 Americans each year, according to the U.S

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Compared with white individuals, black adults are more likely to be diagnosed with lung cancer and have the worst outcomes (hazard ratio for all-cause mortality, 1.35) but accrue greater survival benefit from lung cancer screening (hazard ratio for mortality, 0.61 vs