Evidence map›Paper›PMID 25122830›Full record

SynthesisCanadian family physician Medecin de famille canadien2014

Systematic review of guidelines for the management of suspected lung cancer in primary care.

M Elisabeth Del Giudice, Sheila-Mae Young, Emily T Vella, Marla Ash, Praveen Bansal, Andrew Robinson, Roland Skrastins, Yee Ung, Robert Zeldin, Cheryl Levitt

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Development and Implementation of a Digital Quality Measure of Emergency Cancer Diagnosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

M Elisabeth Del GiudicePhysician with the Sunnybrook Academic Family Health Team in Toronto, Ont, and is Regional Primary Care Cancer Lead for the Toronto Central Local Health Integration Network. ccopgi@mcmaster.ca.
Sheila-Mae YoungFamily physician in Lindsay, Ont.
Emily T VellaHealth Research Methodologist in the Department of Oncology at McMaster University in Hamilton, Ont, and for Cancer Care Ontario's Program in Evidence-based Care. ccopgi@mcmaster.ca.
Marla AshFamily physician with the North York Family Health Team in Ontario.
Praveen BansalFamily physician in Brampton, Ont.
Andrew RobinsonAssistant Professor in the Department of Oncology at Queen's University in Kingston, Ont.
Roland SkrastinsRespirologist in Toronto, Ont.
Yee UngAssociate Professor in the Department of Radiation Oncology at the University of Toronto and a staff radiation oncologist at Sunnybrook Odette Cancer Centre.
Robert ZeldinAssociate Professor in the Division of Thoracic Surgery at the University of Toronto and Medical Director of Surgical Oncology at the Toronto East General Hospital.
Cheryl LevittProfessor in the Department of Family Medicine at McMaster University and Past Provincial Primary Care Lead at Cancer Care Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically review the literature and provide an update and integration of existing peer-reviewed guidelines with recent systematic reviews and with primary studies related to the early recognition and management of lung cancer in primary care. DATA SOURCES: MEDLINE and EMBASE were searched for relevant articles. The quality of the evidence to support existing guideline recommendations, and the consistency of recommendations with updated evidence, were assessed. Applicability in a Canadian primary care setting was also evaluated. STUDY SELECTION: All studies that explored signs or symptoms of or risk factors for lung cancer in the primary care setting were included. All diagnostic studies in which symptomatic primary care patients underwent 1 or more investigations were also searched. SYNTHESIS: Recommendations were consistent among guidelines despite a paucity of supporting evidence. Updated evidence provided further support for the recommendations. Recommendations for identifying signs and symptoms of lung cancer presenting in primary care and for initial management can be adopted and applied within a Canadian primary care setting.

conclusionThis updated review of recommendations might help promote evidence-based practice and, ultimately, more timely management and improved prognosis for lung cancer patients. It might also assist in the development of lung cancer diagnostic assessment programs.

Indexed as

Practice Guidelines as TopicDisease ManagementEvidence-Based MedicineHumansLung NeoplasmsPrimary Health Care

Identifiers

PMID25122830
PMCPMC4131976

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.