Evidence map›Paper›PMID 34716280›Full record

ArticleThorax2022

Selection of eligible participants for screening for lung cancer using primary care data.

Emma L O'Dowd, Kevin Ten Haaf, Jaspreet Kaur, Stephen W Duffy, William Hamilton, Richard B Hubbard, John K Field, Matthew Ej Callister, Sam M Janes, Harry J de Koning and 2 more

Open access · greenAbstract read
In one paragraph

Article in Thorax, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

12 authors at 9 institutions in 5 countries.

Emma L O'DowdRespiratory Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Kevin Ten HaafPublic Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0001-5006-6938
Jaspreet KaurDepartment of Epidemiology, University of Nottingham School of Medicine, Nottingham, UK.
Stephen W DuffyWolfson Institute of Preventive Medicine, Barts and London, London, UK.
William HamiltonPrimary Care Diagnostics, University of Exeter, Exeter, UK.
Richard B HubbardDepartment of Epidemiology, University of Nottingham School of Medicine, Nottingham, UK.ORCID 0000-0003-3063-0356
John K FieldDepartment of Molecular and Clinical Cancer Medicine, Institute of Systems, University of Liverpool, Liverpool, UK.ORCID 0000-0003-3951-6365
Matthew Ej CallisterDepartment of Respiratory Medicine, Leeds Teaching Hospitals, Leeds, UK.
Sam M JanesLungs for Living Research Centre, UCL Respiratory, University College London, London, UK.ORCID 0000-0002-6634-5939
Harry J de KoningPublic Health, Erasmus MC, Rotterdam, The Netherlands.
Janette RawlinsonEuropean Lung Foundation, Birmingham, UK.
David R BaldwinCity Campus, Nottingham University Hospitals NHS Trust, Nottingham, UK david.baldwin@nuh.nhs.uk.ORCID 0000-0001-8410-7160
Erasmus MC · NLNottingham University Hospitals NHS Trust · GBUniversity of Nottingham · GBBritish Lung Foundation · GBLeeds Teaching Hospitals NHS Trust · GBUniversity College London · GBUniversity of Exeter · GBUniversity of Liverpool · GBWolfson Medical Center · IL

Funding

Cancer Research UK 26388Cancer Research UK C8640/A23385
6 · The paper itself

Abstract

Lung cancer screening is effective if offered to people at increased risk of the disease. Currently, direct contact with potential participants is required for evaluating risk. A way to reduce the number of ineligible people contacted might be to apply risk-prediction models directly to digital primary care data, but model performance in this setting is unknown.

methodThe Clinical Practice Research Datalink, a computerised, longitudinal primary care database, was used to evaluate the Liverpool Lung Project V.2 (LLP

resultsOver 5 and 6 years, 7123 and 7876 lung cancers occurred, respectively, from a cohort of 842 109 ever-smokers. After recalibration, LLP

conclusionRisk-prediction models showed only moderate discrimination when applied to routinely collected primary care data, which may be explained by quality and completeness of data. However, they may substantially reduce the number of people for initial evaluation of screening eligibility, at the cost of missing some lung cancers. Further work is needed to establish whether newer models have improved performance in primary care data.

Indexed as

Early Detection of CancerLung NeoplasmsHumansMaleMass ScreeningPrimary Health CareRisk Assessmentimaging/CT MRI etclung cancer

Identifiers

PMID34716280
PMCPMC7616983
OpenAlexW3211035197

What OpenQuestion holds

Textmetadata
LicenceTDM
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.