Evidence map›Paper›PMID 36737082›Full record

ReviewBMJ open2023

Argentine consensus recommendations for lung cancer screening programmes: a RAND/UCLA-modified Delphi study.

Iris Boyeras, Javier Roberti, Mariana Seijo, Verónica Suárez, José Luis Morero, Ana Karina Patané, Diego Kaen, Sebastián Lamot, Mónica Castro, Ricardo Re and 15 more

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

25 authors at 14 institutions in 1 country.

Iris BoyerasAngel Roffo Oncology Institute, Universtiy of Buenos Aires, Buenos Aires, Argentina.
Javier RobertiDepartment of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina jroberti@iecs.org.ar.ORCID 0000-0002-4285-5061
Mariana SeijoDepartment of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Verónica SuárezPneumonology Service, Clínica Bazterrica, Buenos Aires, Argentina.
José Luis MoreroAlexander Fleming Institute, Buenos Aires, Argentina.
Ana Karina PatanéMunicipal Hospital María Ferrer, Buenos Aires, Argentina.
Diego KaenHospital de Clínicas Virgen María de Fátima, National University of La Rioja, La Rioja, Argentina.
Sebastián LamotConciencia Clinic, Neuquén, Argentina.
Mónica CastroAngel Roffo Oncology Institute, Universtiy of Buenos Aires, Buenos Aires, Argentina.
Ricardo ReCenter for Medical Education and Clinical Research Norberto Quirno (CEMIC), Buenos Aires, Argentina.
Artemio GarcíaProf. Posadas National Hospital, El Palomar, Buenos Aires, Argentina.
Patricia VujacichHospital de Clínicas José de San Martín, University of Buenos Aires, Buenos Aires, Argentina.
Alejandro VidelaAustral University Hospital, Pilar, Argentina.
Gonzalo RecondoCenter for Medical Education and Clinical Research Norberto Quirno (CEMIC), Buenos Aires, Argentina.
Alfonso Fernández-PazosOSDE, Buenos Aires, Argentina.
Gustavo LyonsBritish Hospital of Buenos Aires, Buenos Aires, Federal District, Argentina.
Hugo PaladiniMedical Images Service MIT Group, Santa Fe, Argentina.
Sergio BenítezHospital Zonal Juan Ramón Carrillo, San Carlos de Bariloche, Río Negro, Argentina.
Claudio MartínAlexander Fleming Institute, Buenos Aires, Argentina.
Sebastián DefranchiFavaloro Foundation University Hospital, Buenos Aires, Federal District, Argentina.
Lisandro PaganiniAlexander Fleming Institute, Buenos Aires, Argentina.
Silvia QuadrelliBritish Hospital of Buenos Aires, Buenos Aires, Federal District, Argentina.
Sebastián RossiniRadiology Institute of Mar del Plata, Mar del Plata, Argentina.
Ezequiel Garcia ElorrioDepartment of Healthcare Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
Edgardo SobrinoSanatorio Mater Dei, Buenos Aires, Argentina.
Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno · ARHospital Fernández · ARInstituto Alexander Fleming · ARInstituto de Efectividad Clínica y Sanitaria · ARAustral University · ARConsejo Nacional de Investigaciones Científicas y Técnicas · AREstudios Clínicos Latinoamérica · ARFavaloro Foundation · ARHelios Salud · ARHospital Británico de Buenos Aires · ARHospital Posadas · ARNational University of La Rioja · ARSanatorio Otamendi y Miroli · ARUniversidad de Buenos Aires · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer (LC) screening improves LC survival; the best screening method in terms of improving survival is low-dose CT (LDCT), outpacing chest X-ray and sputum cytology.

methodsA consensus of experts in Argentina was carried out to review the literature and generate recommendations for LC screening programmes. A mixed-method study was used with three phases: (1) review of the literature; (2) modified Delphi consensus panel; and (3) development of the recommendations. The Evidence to Decision (EtD) framework was used to generate 13 evaluation criteria. Nineteen experts participated in four voting rounds. Consensus among participants was defined using the RAND/UCLA method.

resultsA total of 16 recommendations scored ≥7 points with no disagreement on any criteria. Screening for LC should be performed with LDCT annually in the population at high-risk, aged between 55 and 74 years, regardless of sex, without comorbidities with a risk of death higher than the risk of death from LC, smoking ≥30 pack-years or former smokers who quit smoking within 15 years. Screening will be considered positive when finding a solid nodule ≥6 mm in diameter (or ≥113 mm

conclusionThe recommendations provide a basis for minimum requirements from which local institutions can develop their own protocols adapted to their needs and resources.

Indexed as

Lung NeoplasmsAgedDelphi TechniqueEarly Detection of CancerHumansMass ScreeningMiddle AgedTomography, X-Ray ComputedAdult thoracic medicineComputed tomographyONCOLOGYProtocols & guidelines

Identifiers

PMID36737082
PMCPMC9900059
OpenAlexW4319078709

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.