New Report Reveals Texas Lags Behind Country in Life Saving Lung Cancer Screenings

American Lung Association examines toll of lung cancer in Texas, underscores urgent need for more high-risk people to be screened to increase survivorship.

The 2023 “State of Lung Cancer” report reveals that Texas ranks 49th in the nation for screening rates. This means that Texas is among the worst in the nation for percent of those at high risk receiving screening, so more work is needed to reduce the burden of lung cancer. The American Lung Association’s 6th annual report, released today, highlights the toll of lung cancer in Texas and examines key indicators including new cases, survival, early diagnosis, surgical treatment, lack of treatment and screening rates.

The report also found that Texas ranked 45th in the nation for lack of treatment and 42nd for surgical intervention. In Texas, Black Americans are least likely to receive surgical treatment. Nationally, the “State of Lung Cancer” report found that lung cancer survival rates are improving for everyone, including people of color. In fact, the five-year lung cancer survival rate for people of color has increased by 17% in the last two years, helping close the health disparity gap.

“Thankfully, nationally, the lung cancer survival rate has improved because of increased awareness, improved access to healthcare and cutting-edge research into new treatments for the disease,” said Charlie Gagen, Advocacy Director for the American Lung Association in Texas. “However, lung cancer is still the leading cause of cancer deaths here in Texas and across the nation, and our recent report makes it clear that we have more work to do to increasing lung cancer screening and early diagnosis.”

The report found that Texas ranked:

  • 10 out of 48 in the nation for rate of new lung cancer cases at 46.76 per 100,000. The national rate is 54.6 per 100,000.
  • 25 out of 42 in the nation for survival at 24.8%. The national rate of people alive five years after a lung cancer diagnosis is 26.6%.
  • 44 out of 47 in the nation for early diagnosis at 23.4%. Nationally, only 26.6% of cases are diagnosed at an early stage when the survival rate is much higher.
  • 49 out of 51 in the nation for lung cancer screening at 1.2%. 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 4.5% of those at high risk were screened.
  • 42 out of 47 in the nation for surgery at 16.1%. 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.
  • 45 out of 47 in the nation for lack of treatment at 29.2%. Nationally, 20.6% of cases receive no treatment.

The Cancer Prevention Research Institute of Texas received full funding in the 2023 state legislative session to continue investing in cancer research and prevention. Since 2010, the state agency has invested more than $324 million to address lung cancer, including more than $10 million in 2023.

The 2023 “State of Lung Cancer” report highlights that Texas must do more to reduce the burden of lung cancer and encourages everyone to help end lung cancer. Join the Lung Association’s efforts by asking your member of Congress to co-sponsor H.R. 4286, the Increasing Access to Lung Cancer Screening Act at


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