North Dakota Ranks Best in Nation for Treating Lung Cancer, According to New Report

American Lung Association examines toll of lung cancer in North Dakota, underscores urgent need for more people to be screened

The 2022 “State of Lung Cancer” report reveals that North Dakota ranks top in the nation for treating lung cancer after diagnosis. The American Lung Association’s 5th annual report, released today, highlights the toll of lung cancer in North Dakota and examines key indicators including new cases, survival, early diagnosis, surgical treatment, lack of treatment and screening rates.

Nationally, the “State of Lung Cancer” report shows continued progress for lung cancer survival. The lung cancer five-year survival rate is now 25% and increased 21% from 2014 to 2018. In North Dakota, the lung cancer survival rate is just about the national average at 26.0%. The report also highlights that people of color who are diagnosed with lung cancer face worse outcomes compared to white Americans, including lower survival rate, less likely to be diagnosed early, less likely to receive surgical treatment and more likely to receive no treatment. In North Dakota, Indigenous Peoples are most likely to be diagnosed with lung cancer.

“Lung cancer screening is key to early diagnosis, and early diagnosis saves lives. Unfortunately, in North Dakota, not enough people are getting this lifesaving screening,” said Pat McKone, Senior Director of Public Policy and Advocacy at the American Lung Association. “We all can help reduce the burden of lung cancer in North Dakota. If you are eligible for lung cancer screening, we encourage you to speak with your doctor or health care provider about it. If a loved one is eligible, please encourage them to get screened.”

Currently, 14.2 million Americans meet the US Preventive Services Task Force guidelines for screening. Under these guidelines, a person is eligible for lung cancer screening if they are between 50-80 years of age, have a 20 pack-year history (1 pack/day for 20 years, 2 packs/day for 10 years) and are a current, or have quit within the last 15 years. Find out if you are eligible for lung cancer screening at

The report found that North Dakota ranked:

  • 24th in the nation for rate of new lung cancer cases at 57.2 per 100,000. The national rate is 56.7 per 100,000.
  • 16th in the nation for survival at 26.0%. The national rate of people alive five years after a lung cancer diagnosis is 25%.
  • 11th in the nation for early diagnosis at 27.5%. Nationally, only 25.8% of cases are diagnosed at an early stage when the survival rate is much higher.
  • 7th in the nation for lung cancer screening at 10.1%. Lung cancer screening with annual low-dose CT scans for those at high risk can reduce the lung cancer death rate by up to 20%. Nationally, only 5.8% of those at high risk were screened.
  • 36th in the nation for surgery at 17.4%. Lung cancer can often be treated with surgery if it is diagnosed at an early stage and has not spread. Nationally, 20.8% of cases underwent surgery.
  • 1st in the nation of those that lack treatment after diagnosis at 13.9%. Nationally, 20.6% of cases receive no treatment.

“State of Lung Cancer” highlights that North Dakota must do more to reduce the burden of lung cancer and encourages everyone to join the effort to end lung cancer. Learn more about the report, and email President Biden to thank him for his leadership on the Cancer Moonshot Initiative and urge him to work to increase lung cancer screening for individuals at high risk at

For more information, contact:

James A. Martinez
(312) 445-2501
[email protected]

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