Rebuttal From Dr Powell

Dr Goodson convincingly establishes the importance of integrating screening services within an ongoing comprehensive provider-patient relationship that continuously evaluates and prioritizes the provision of screening services while taking into account patients' comorbidities, values, and preferences.1 It is an attractive proposition that represents a preferred approach for key steps of the lung cancer screening process that include assessment of eligibility and performance of a shared medical decision-making visit.

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