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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Veröffentlicht in:The lancet oncology 2023-05, Vol.24 (5), p.e207-e218
Hauptverfasser: 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
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container_title The lancet oncology
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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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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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