Evidence map›Paper›PMID 37527237›Full record

ArticlePloS one2023

Invitation methods for Indigenous New Zealand Māori in lung cancer screening: Protocol for a pragmatic cluster randomized controlled trial.

Kate Parker, Sarah Colhoun, Karen Bartholomew, Peter Sandiford, Chris Lewis, David Milne, Mark McKeage, Rawiri McKree Jansen, Kwun M Fong, Henry Marshall and 8 more

Abstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. 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
    Pooled it
  2. Review
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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

18 authors.

Kate ParkerPlanning Funding and Outcomes, Waitematā District, Te Whatu Ora and Te Toka Tumai Auckland District, Te Whatu Ora, Auckland, New Zealand.
Sarah ColhounNgāi Tahu Māori Health Research Unit, School of Health Sciences, University of Otago, Dunedin, New Zealand.
Karen BartholomewPlanning Funding and Outcomes, Waitematā District, Te Whatu Ora and Te Toka Tumai Auckland District, Te Whatu Ora, Auckland, New Zealand.
Peter SandifordWaitematā District, Te Whatu Ora, Auckland, New Zealand.
Chris LewisTe Toka Tumai Auckland District, Te Whatu Ora, Auckland, New Zealand.
David MilneTe Toka Tumai Auckland District, Te Whatu Ora, Auckland, New Zealand.
Mark McKeageUniversity of Auckland, Auckland, New Zealand.
Rawiri McKree JansenTe Aka Whai Ora, Manukau, New Zealand.
Kwun M FongDepartment of Thoracic Medicine, Prince Charles Hospital, Brisbane, Queensland, Australia.
Henry MarshallDepartment of Thoracic Medicine, Prince Charles Hospital, Brisbane, Queensland, Australia.ORCID 0000-0002-9626-8014
Martin TammemägiBrock University, St. Catharines, Ontario, Canada.
Nicole M RankinCentre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Sandra HotuUniversity of Auckland, Auckland, New Zealand.
Robert YoungUniversity of Auckland, Auckland, New Zealand.
Raewyn HopkinsUniversity of Auckland, Auckland, New Zealand.
Natalie WalkerUniversity of Auckland, Auckland, New Zealand.
Rachel BrownNational Hauora Coalition, Auckland, New Zealand.
Sue CrengleNgāi Tahu Māori Health Research Unit, School of Health Sciences, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-9367-1492

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer screening can significantly reduce mortality from lung cancer. Further evidence about how to optimize lung cancer screening for specific populations, including Aotearoa New Zealand (NZ)'s Indigenous Māori (who experience disproportionately higher rates of lung cancer), is needed to ensure it is equitable. This community-based, pragmatic cluster randomized trial aims to determine whether a lung cancer screening invitation from a patient's primary care physician, compared to from a centralized screening service, will optimize screening uptake for Māori. Participating primary care practices (clinics) in Auckland, Aotearoa NZ will be randomized to either the primary care-led or centralized service for delivery of the screening invitation. Clinic patients who meet the following criteria will be eligible: Māori; aged 55-74 years; enrolled in participating clinics in the region; ever-smokers; and have at least a 2% risk of developing lung cancer within six years (determined using the PLCOM2012 risk prediction model). Eligible patients who respond positively to the invitation will undertake shared decision-making with a nurse about undergoing a low dose CT scan (LDCT) and an assessment for Chronic Obstructive Pulmonary Disease (COPD). The primary outcomes are: 1) the proportion of eligible population who complete a risk assessment and 2) the proportion of people eligible for a CT scan who complete the CT scan. Secondary outcomes include evaluating the contextual factors needed to inform the screening process, such as including assessment for Chronic Obstructive Pulmonary Disease (COPD). We will also use the RE-AIM framework to evaluate specific implementation factors. This study is a world-first, Indigenous-led lung cancer screening trial for Māori participants. The study will provide policy-relevant information on a key policy parameter, invitation method. In addition, the trial includes a nested analysis of COPD in the screened Indigenous population, and it provides baseline (T0 screen round) data using RE-AIM implementation outcomes.

Indexed as

Lung NeoplasmsPulmonary Disease, Chronic ObstructiveEarly Detection of CancerHumansMaori PeopleNew ZealandPragmatic Clinical Trials as TopicRandomized Controlled Trials as Topic

Identifiers

PMID37527237
PMCPMC10393155

What OpenQuestion holds

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LicenceCC BY
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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.