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HomeAreas of CareDiagnostic ImagingOntario Lung Screening Program

Ontario Lung Screening Program

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The Ontario Lung Screening Program (OLSP) is a province-wide initiative aimed at identifying cancer early among individuals at high risk of lung cancer. This life-saving initiative was designed to detect lung cancer at its earliest stages when treatment is most effective. Through low-dose CT (computed tomography) scans, the program helps detect lung cancer before symptoms appear, improving outcomes and survival rates. With the launch of this program, Osler is providing access to high-quality screening services for eligible individuals in our community.

Osler's enrolment as an affiliate in Ontario Health's OLSP replaces our former high-risk lung cancer screening program that was implemented in 2012 to facilitate early detection of lung cancer for target populations.

Eligibility

Inclusion criteria are as follows:

  • Aged 55 to 80 years old
  • You have smoked cigarettes every day for at least 20 years (it does not have to be 20 years in a row and you do not have to currently smoke)

Determining eligibility is a two-step process:

  • Step one:
    • Primary care providers refer patients who meet the referral inclusion criteria to OLSP at Osler
    • Self referral: people can also contact the hospital at 416-747-3400 ext. 39567 without a doctor referral to have their age and smoking history assessed to determine if eligible for screening
  • Step two:
    • An OLSP screening nurse conducts a risk assessment with anyone who meets the age and smoking history criteria in step one. The results of the risk assessment in step two determine whether someone is eligible for the screening through the lung cancer program.

Individuals who are not eligible for step one or step two of the program will be informed by the OLSP staff. Additionally, their referring provider will also receive a notification. 

How to refer

Eligible individuals who are self-referring or are being referred by a primary care provider can complete the requisition for referral for either Etobicoke General Hospital or Peel Memorial Centre for Integrated Health and Wellness. Requisitions should be faxed to 416-747-3442.

How the program works

  1. Referral: Speak with your health care provider to determine if you are eligible. If so, your provider will complete and submit the referral form.
  2. Initial assessment: Our team will review your referral and contact you to schedule an initial assessment.
  3. Screening: Attend your scheduled low-dose CT scan at one of our dedicated screening sites.
  4. Follow-up: Depending on the results, you may receive follow-up care or recommendations for future screenings.

Why lung cancer screening matters

Lung cancer is the leading cause of cancer-related deaths in Ontario. It starts when abnormal cells grow in an uncontrolled way in the lungs. Early detection through screening can significantly improve survival rates by identifying cancer at a treatable stage. The OLSP offers hope and a proactive approach for those at high risk.

Cancer screening is testing done on people who have a chance of getting cancer, but have no symptoms and generally feel fine. Screening is available at Etobicoke General Hospital and Peel Memorial Centre for Integrated Health and Wellness.

Resources

  • OLSP information from Cancer Care Ontario
  • OLSP participant information sheet
  • Mississauga Halton Central West Regional Cancer Program

Frequently asked questions

What happens during a lung cancer screening test?

If you qualify to get screened you will be offered a type of computed tomography (CT) scan that uses a small amount of radiation. This test is called a low-dose CT scan. During the scan, you lie on an open table that passes through a large donut-shaped machine called a scanner. The scanner uses a small amount of radiation to take detailed pictures of your lungs. The test only takes a few minutes and is not painful. There are no medications or needles given during the test. Hospital staff will be there to support you when you get screened. You can also bring a friend or family member with you.

How often should I get screened?

The OLSP recommends that you get screened every year if you qualify for the program.

What if I do not qualify for lung cancer screening?

Your risk of developing lung cancer can change over time. If an OLSP site tells you that you do not qualify for screening, you should check again in three years to see if you qualify.

You should check again sooner if you have:

  • Started smoking again (if you had quit)
  • Been told you have chronic obstructive pulmonary disease (COPD)
  • A new family history of lung cancer

Where can I get help to quit smoking cigarettes?

Quitting smoking is one of the best things you can do to improve your overall health, including reducing your chances of getting cancer. Quitting can be hard, but it is possible, and someone is more likely to quit if they get help. If you currently smoke, you can contact the following services directly for help quitting:

  • Call Health811 by dialing 811 from your phone
  • Visit the Smokers’ Helpline website 
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