Evidence map›Paper›PMID 37642787›Full record

ArticleDiscover oncology2023

Results of a pilot risk-based lung cancer screening study: outcomes and comparisons to a Medicare eligible cohort.

Erin A Hirsch, Melissa L New, Stephanie L Brown, Stephen P Malkoski

Registry-linked trialAbstract read
In one paragraph

Article in Discover oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03683940 (A Prospective Pilot Study of Lung Cancer Screening in Patients at High Risk for Lung Cancer Who Do Not Meet Current Screening Guidelines), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03683940 nacompletednot on this map

A Prospective Pilot Study of Lung Cancer Screening in Patients at High Risk for Lung Cancer Who Do Not Meet Current Screening Guidelines

TypeinterventionalSponsorUniversity of Colorado, DenverRan2016 to 2023Enrolled48ConditionsLung CancerArmsScreening
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Erin A HirschDivision of Medical Oncology, University of Colorado Anschutz Medical Campus, 12700 E 19th Ave, Aurora, CO, 80045, USA. Erin.Hirsch@cuanschutz.edu.
Melissa L NewPulmonary Section, Rocky Mountain Regional VA Medical Center, 1700 N. Wheeling Street, Aurora, CO, 80045, USA.
Stephanie L BrownUniversity of Colorado Hospital, UCHealth Denver Metro, Aurora, CO, 80045, USA.
Stephen P MalkoskiDivision of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, 12700 E 19th Ave, Mail Stop C272, Aurora, CO, 80045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRisk-based lung cancer screening holds potential to detect more cancers and avert more cancer deaths than screening based on age and smoking history alone, but has not been widely assessed or implemented in the United States. The purpose of this study was to prospectively identify patients for lung cancer screening based on lung cancer risk using the PLCO

methodsParticipants who had a 6 year lung cancer risk score ≥ 1.5% calculated by the PLCO

resultsFrom August 2016 to July 2019, the study completed 48 baseline LDCTs. 10% of LDCTs recommended further pulmonary nodule evaluation (Lung-RADs 3 or 4) with two early-stage lung cancers diagnosed in individuals that had quit smoking > 15 years prior. The study population was approximately 5 years older (p = 0.001) and had lower pack years (p = 0.002) than the Medicare cohort.

conclusionProspective application of risk-based screening identifies screening candidates who are similar to a traditionally eligible Medicare cohort and future research should focus on the impact of risk calculators on lung cancer outcomes and optimal usability in clinical environments. This study was retrospectively registered on clinicaltrials.gov (NCT03683940) on 09/25/2018.

Indexed as

Cancer ScreeningLung cancerLung cancer screeningRisk-based screening

Identifiers

PMID37642787
PMCPMC10465462

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Registered trials

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.