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As a non-profit health maintenance organization recognized for its leadership in preventive and integrated care, KPNC provided a robust data collection and analysis platform encompassing a large, diverse, and stable membership base with minimal loss to follow-up ( 2.1 Selection and description of participants This study used the USPSTF recommendations for lung cancer screening published in 2013 and 2021 to define the eligibility criteria for its study participants ( In accordance with the 2013 USPSTF guidelines for lung cancer screening, we identified all adults 55 to 80 years old with a 30 pack-year cigarette smoking history and who either a) currently smoked or b) quit smoking within the last 15 years during the study period

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