Defining the road map to a UK national lung cancer screening programme
Lung cancer screening with low-dose CT was recommended by the UK National Screening Committee (UKNSC) in September, 2022, on the basis of data from trials showing a reduction in lung cancer mortality. These trials provide sufficient evidence to show clinical efficacy, but further work is needed to p...
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creator | O'Dowd, Emma L Lee, Richard W Akram, Ahsan R Bartlett, Emily C Bradley, Stephen H Brain, Kate Callister, Matthew E J Chen, Yan Devaraj, Anand Eccles, Sinan R Field, John K Fox, Jesme Grundy, Seamus Janes, Sam M Ledson, Martin MacKean, Melanie Mackie, Anne McManus, Kieran G Murray, Rachael L Nair, Arjun Quaife, Samantha L Rintoul, Robert Stevenson, Anne Summers, Yvonne Wilkinson, Louise S Booton, Richard Baldwin, David R Crosbie, Philip |
description | Lung cancer screening with low-dose CT was recommended by the UK National Screening Committee (UKNSC) in September, 2022, on the basis of data from trials showing a reduction in lung cancer mortality. These trials provide sufficient evidence to show clinical efficacy, but further work is needed to prove deliverability in preparation for a national roll-out of the first major targeted screening programme. The UK has been world leading in addressing logistical issues with lung cancer screening through clinical trials, implementation pilots, and the National Health Service (NHS) England Targeted Lung Health Check Programme. In this Policy Review, we describe the consensus reached by a multiprofessional group of experts in lung cancer screening on the key requirements and priorities for effective implementation of a programme. We summarise the output from a round-table meeting of clinicians, behavioural scientists, stakeholder organisations, and representatives from NHS England, the UKNSC, and the four UK nations. This Policy Review will be an important tool in the ongoing expansion and evolution of an already successful programme, and provides a summary of UK expert opinion for consideration by those organising and delivering lung cancer screenings in other countries. |
doi_str_mv | 10.1016/S1470-2045(23)00104-3 |
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These trials provide sufficient evidence to show clinical efficacy, but further work is needed to prove deliverability in preparation for a national roll-out of the first major targeted screening programme. The UK has been world leading in addressing logistical issues with lung cancer screening through clinical trials, implementation pilots, and the National Health Service (NHS) England Targeted Lung Health Check Programme. In this Policy Review, we describe the consensus reached by a multiprofessional group of experts in lung cancer screening on the key requirements and priorities for effective implementation of a programme. We summarise the output from a round-table meeting of clinicians, behavioural scientists, stakeholder organisations, and representatives from NHS England, the UKNSC, and the four UK nations. This Policy Review will be an important tool in the ongoing expansion and evolution of an already successful programme, and provides a summary of UK expert opinion for consideration by those organising and delivering lung cancer screenings in other countries.</description><identifier>ISSN: 1470-2045</identifier><identifier>EISSN: 1474-5488</identifier><identifier>DOI: 10.1016/S1470-2045(23)00104-3</identifier><identifier>PMID: 37142382</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Cancer screening ; Chronic obstructive pulmonary disease ; Clinical trials ; Decision making ; Early Detection of Cancer ; England ; Humans ; Lung ; Lung cancer ; Lung Neoplasms - diagnostic imaging ; Medical referrals ; Medical screening ; Mortality ; Participation ; Primary care ; State Medicine</subject><ispartof>The lancet oncology, 2023-05, Vol.24 (5), p.e207-e218</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><rights>2023. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-c9e960990ebfed72c8515d66ecf51a0198a2126f383f2f8f8aa959a7a4718cdb3</citedby><cites>FETCH-LOGICAL-c440t-c9e960990ebfed72c8515d66ecf51a0198a2126f383f2f8f8aa959a7a4718cdb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1470204523001043$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37142382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Dowd, Emma L</creatorcontrib><creatorcontrib>Lee, Richard W</creatorcontrib><creatorcontrib>Akram, Ahsan R</creatorcontrib><creatorcontrib>Bartlett, Emily C</creatorcontrib><creatorcontrib>Bradley, Stephen H</creatorcontrib><creatorcontrib>Brain, Kate</creatorcontrib><creatorcontrib>Callister, Matthew E J</creatorcontrib><creatorcontrib>Chen, Yan</creatorcontrib><creatorcontrib>Devaraj, Anand</creatorcontrib><creatorcontrib>Eccles, Sinan R</creatorcontrib><creatorcontrib>Field, John K</creatorcontrib><creatorcontrib>Fox, Jesme</creatorcontrib><creatorcontrib>Grundy, Seamus</creatorcontrib><creatorcontrib>Janes, Sam M</creatorcontrib><creatorcontrib>Ledson, Martin</creatorcontrib><creatorcontrib>MacKean, Melanie</creatorcontrib><creatorcontrib>Mackie, Anne</creatorcontrib><creatorcontrib>McManus, Kieran G</creatorcontrib><creatorcontrib>Murray, Rachael L</creatorcontrib><creatorcontrib>Nair, Arjun</creatorcontrib><creatorcontrib>Quaife, Samantha L</creatorcontrib><creatorcontrib>Rintoul, Robert</creatorcontrib><creatorcontrib>Stevenson, Anne</creatorcontrib><creatorcontrib>Summers, Yvonne</creatorcontrib><creatorcontrib>Wilkinson, Louise S</creatorcontrib><creatorcontrib>Booton, Richard</creatorcontrib><creatorcontrib>Baldwin, David R</creatorcontrib><creatorcontrib>Crosbie, Philip</creatorcontrib><title>Defining the road map to a UK national lung cancer screening programme</title><title>The lancet oncology</title><addtitle>Lancet Oncol</addtitle><description>Lung cancer screening with low-dose CT was recommended by the UK National Screening Committee (UKNSC) in September, 2022, on the basis of data from trials showing a reduction in lung cancer mortality. These trials provide sufficient evidence to show clinical efficacy, but further work is needed to prove deliverability in preparation for a national roll-out of the first major targeted screening programme. The UK has been world leading in addressing logistical issues with lung cancer screening through clinical trials, implementation pilots, and the National Health Service (NHS) England Targeted Lung Health Check Programme. In this Policy Review, we describe the consensus reached by a multiprofessional group of experts in lung cancer screening on the key requirements and priorities for effective implementation of a programme. We summarise the output from a round-table meeting of clinicians, behavioural scientists, stakeholder organisations, and representatives from NHS England, the UKNSC, and the four UK nations. This Policy Review will be an important tool in the ongoing expansion and evolution of an already successful programme, and provides a summary of UK expert opinion for consideration by those organising and delivering lung cancer screenings in other countries.</description><subject>Cancer screening</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical trials</subject><subject>Decision making</subject><subject>Early Detection of Cancer</subject><subject>England</subject><subject>Humans</subject><subject>Lung</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Medical referrals</subject><subject>Medical screening</subject><subject>Mortality</subject><subject>Participation</subject><subject>Primary care</subject><subject>State Medicine</subject><issn>1470-2045</issn><issn>1474-5488</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkMlKBDEQhoMoLqOPoAS8jIfWrN3JScQdBQ_qOWTSFY30Mibdgm9vZkY9ePFURfH9VdSH0D4lx5TQ8uSRiooUjAg5ZfyIEEpEwdfQdh6LQgql1pf9CtlCOym9ZaiiRG6iLV5Rwbhi2-jqAnzoQveCh1fAsbc1bu0cDz22-PkOd3YIfWcb3IwZcbZzEHFyEWCZmcf-Jdq2hV204W2TYO-7TtDz1eXT-U1x_3B9e352XzghyFA4DbokWhOYeagr5pSksi5LcF5SS6hWllFWeq64Z155Za2W2lZWVFS5esYnaLramy-_j5AG04bkoGlsB_2YDFOUaMaE0Bk9_IO-9WPMvywooqQoSXYwQXJFudinFMGbeQytjZ-GErMQbZaizcKiYdwsRRuecwff28dZC_Vv6sdsBk5XAGQdHwGiSS5A9leHCG4wdR_-OfEFcX6K-g</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>O'Dowd, Emma L</creator><creator>Lee, Richard W</creator><creator>Akram, Ahsan R</creator><creator>Bartlett, Emily C</creator><creator>Bradley, Stephen H</creator><creator>Brain, Kate</creator><creator>Callister, Matthew E J</creator><creator>Chen, Yan</creator><creator>Devaraj, Anand</creator><creator>Eccles, Sinan R</creator><creator>Field, John K</creator><creator>Fox, Jesme</creator><creator>Grundy, Seamus</creator><creator>Janes, Sam M</creator><creator>Ledson, Martin</creator><creator>MacKean, Melanie</creator><creator>Mackie, Anne</creator><creator>McManus, Kieran G</creator><creator>Murray, Rachael L</creator><creator>Nair, Arjun</creator><creator>Quaife, Samantha L</creator><creator>Rintoul, Robert</creator><creator>Stevenson, Anne</creator><creator>Summers, Yvonne</creator><creator>Wilkinson, Louise S</creator><creator>Booton, Richard</creator><creator>Baldwin, David R</creator><creator>Crosbie, Philip</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202305</creationdate><title>Defining the road map to a UK national lung cancer screening programme</title><author>O'Dowd, Emma L ; Lee, Richard W ; Akram, Ahsan R ; Bartlett, Emily C ; Bradley, Stephen H ; Brain, Kate ; Callister, Matthew E J ; Chen, Yan ; Devaraj, Anand ; Eccles, Sinan R ; Field, John K ; Fox, Jesme ; Grundy, Seamus ; Janes, Sam M ; Ledson, Martin ; MacKean, Melanie ; Mackie, Anne ; McManus, Kieran G ; Murray, Rachael L ; Nair, Arjun ; Quaife, Samantha L ; Rintoul, Robert ; Stevenson, Anne ; Summers, Yvonne ; Wilkinson, Louise S ; Booton, Richard ; Baldwin, David R ; Crosbie, Philip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-c9e960990ebfed72c8515d66ecf51a0198a2126f383f2f8f8aa959a7a4718cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cancer screening</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical trials</topic><topic>Decision making</topic><topic>Early Detection of Cancer</topic><topic>England</topic><topic>Humans</topic><topic>Lung</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - 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These trials provide sufficient evidence to show clinical efficacy, but further work is needed to prove deliverability in preparation for a national roll-out of the first major targeted screening programme. The UK has been world leading in addressing logistical issues with lung cancer screening through clinical trials, implementation pilots, and the National Health Service (NHS) England Targeted Lung Health Check Programme. In this Policy Review, we describe the consensus reached by a multiprofessional group of experts in lung cancer screening on the key requirements and priorities for effective implementation of a programme. We summarise the output from a round-table meeting of clinicians, behavioural scientists, stakeholder organisations, and representatives from NHS England, the UKNSC, and the four UK nations. 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subjects | Cancer screening Chronic obstructive pulmonary disease Clinical trials Decision making Early Detection of Cancer England Humans Lung Lung cancer Lung Neoplasms - diagnostic imaging Medical referrals Medical screening Mortality Participation Primary care State Medicine |
title | Defining the road map to a UK national lung cancer screening programme |
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