Evidence map›Paper›PMID 36564817›Full record

ArticleRespiratory research2022

Understanding patient barriers and facilitators to uptake of lung screening using low dose computed tomography: a mixed methods scoping review of the current literature.

Debbie Cavers, Mia Nelson, Jasmin Rostron, Kathryn A Robb, Lynsey R Brown, Christine Campbell, Ahsan R Akram, Graeme Dickie, Melanie Mackean, Edwin J R van Beek and 4 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 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

42 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Mobile Cancer Screening Programs: A Systematic Review of Implementation Challenges and Population Access.International journal of environmental research and public health · 2026
    Pooled it
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  3. Lung Cancer Screening Participation Among Indigenous Peoples Worldwide: A Systematic Review of Challenges and Opportunities.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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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

14 authors.

Debbie CaversUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK. Debbie.Cavers@ed.ac.uk.
Mia NelsonUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Jasmin RostronThe National Institute of Economic and Social Research, 2 Dean Trench Street, London, NW1P 3HE, UK.
Kathryn A RobbInstitute of Health and Wellbeing, University of Glasgow, 1 Lilybank Gardens, Glasgow, G12 8RZ, UK.
Lynsey R BrownSchool of Medicine, University of St. Andrews, North Haugh, St. Andrews, KY16 9TF, UK.
Christine CampbellUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Ahsan R AkramMRC Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
Graeme DickieUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
Melanie MackeanEdinburgh Cancer Centre, Western General Hospital, Crewe Road South, Edinburgh, EH4 2XU, UK.
Edwin J R van BeekEdinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH16 4TJ, UK.
Frank SullivanSchool of Medicine, University of St. Andrews, North Haugh, St. Andrews, KY16 9TF, UK.
Robert J SteeleSchool of Medicine, University of Dundee, Ninewells Hospital, Dundee, DD1 9SY, UK.
Aileen R NeilsonUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
David WellerUsher Institute, University of Edinburgh, Doorway 1, Medical School, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.

Funding

Cancer Research UK 24867Chief Scientist Office HIPS/19/52Medical Research Council G0701127
6 · The paper itself

Abstract

backgroundTargeted lung cancer screening is effective in reducing mortality by upwards of twenty percent. However, screening is not universally available and uptake is variable and socially patterned. Understanding screening behaviour is integral to designing a service that serves its population and promotes equitable uptake. We sought to review the literature to identify barriers and facilitators to screening to inform the development of a pilot lung screening study in Scotland.

methodsWe used Arksey and O'Malley's scoping review methodology and PRISMA-ScR framework to identify relevant literature to meet the study aims. Qualitative, quantitative and mixed methods primary studies published between January 2000 and May 2021 were identified and reviewed by two reviewers for inclusion, using a list of search terms developed by the study team and adapted for chosen databases.

resultsTwenty-one articles met the final inclusion criteria. Articles were published between 2003 and 2021 and came from high income countries. Following data extraction and synthesis, findings were organised into four categories: Awareness of lung screening, Enthusiasm for lung screening, Barriers to lung screening, and Facilitators or ways of promoting uptake of lung screening. Awareness of lung screening was low while enthusiasm was high. Barriers to screening included fear of a cancer diagnosis, low perceived risk of lung cancer as well as practical barriers of cost, travel and time off work. Being health conscious, provider endorsement and seeking reassurance were all identified as facilitators of screening participation.

conclusionsUnderstanding patient reported barriers and facilitators to lung screening can help inform the implementation of future lung screening pilots and national lung screening programmes.

Indexed as

Early Detection of CancerLung NeoplasmsHumansLungScotlandTomographyCancer screeningEarly detectionLung cancer screeningMixed methodsRespiratory healthScoping review

Identifiers

PMID36564817
PMCPMC9789658

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.