Evidence map›Paper›PMID 37804174›Full record

ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2023

ERS/ESTS/ESTRO/ESR/ESTI/EFOMP statement on management of incidental findings from low dose CT screening for lung cancer.

Emma L O'Dowd, Ilona Tietzova, Emily Bartlett, Anand Devaraj, Jürgen Biederer, Marco Brambilla, Alessandro Brunelli, Joanna Chorostowska, Herbert Decaluwe, Dirk Deruysscher and 23 more

Abstract readConsensus Statement
In one paragraph

Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2023. 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
–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

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

  1. Methods to assess atherosclerotic cardiovascular risk in chronic respiratory diseases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
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  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Lung cancer screening: where do we stand?Breathe (Sheffield, England) · 2024
    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

33 authors.

Emma L O'DowdNottingham University Hospitals NHS Trust, Nottingham, UK.
Ilona TietzovaCharles University, First Faculty of Medicine, Department of Tuberculosis and Respiratory Diseases, Prague, Czech Republic.
Emily BartlettRoyal Brompton and Harefield NHS Foundation Trust, Radiology, London, UK.
Anand DevarajRoyal Brompton and Harefield NHS Foundation Trust, Radiology, London, UK.
Jürgen BiedererUniversity of Heidelberg, Diagnostic and Interventional Radiology, Heidelberg, Germany.
Marco BrambillaAzienda Ospedaliero-Universitaria Maggiore della Carità di Novara, Novara, Italy.
Alessandro BrunelliSt. James's University Hospital, Department of Thoracic Surgery, Leeds, UK.
Joanna ChorostowskaInstitute of Tuberculosis and Lung Diseases, Warsaw, Genetics and Clinical Immunology, Warsaw, Poland.ORCID 0000-0003-1743-2961
Herbert DecaluweUniversity Hospitals Leuven, Thoracic Surgery, Leuven, Belgium.ORCID 0000-0002-0877-7717
Dirk DeruysscherMaastricht University Medical Centre, Department of Radiation Oncology (MAASTRO Clinic), GROW-School for Oncology and Developmental Biology, Limburg, The Netherlands.
Walter De WeverUniversitaire Ziekenhuizen Leuven, Radiology, Leuven, Belgium.
Matthew DonoghueGalway Clinic Doughiska, Galway, Ireland.
Aurelie FabreUniversity College Dublin School of Medicine, Histopathology, Dublin, Ireland.
Mina GagaSotiria General Hospital of Chest Diseases of Athens, 7th Respiratory Medicine Department, Athens, Greece.ORCID 0000-0002-9949-6012
Wouter van GeffenMedical Centre Leeuwarden, Department of Respiratory Medicine, Leeuwarden, The Netherlands.ORCID 0000-0002-5976-0974
Georgia HardavellaSotiria General Hospital of Chest Diseases of Athens, Respiratory Medicine, Athens, Greece.
Hans-Ulrich KauczorUniversity of Heidelberg, Diagnostic and Interventional Radiology, Heidelberg, Germany.
Anna Kerpel-FroniusNational Koranyi Institute of Pulmonology, Department of Radiology, Budapest, Hungary.ORCID 0000-0002-8616-3366
Jan van MeerbeeckUZ Antwerpen, MOCA, Edegem, Belgium.ORCID 0000-0001-7872-8622
Blin NagavciInstitute for Evidence in Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Ursula NestleKliniken Maria Hilf GmbH Monchengladbach, Nordrhein-Westfalen, Germany.
Nuria NovoaUniversity Hospital of Salamanca, Thoracic Surgery, Salamanca, Spain.
Helmut ProschMedical University of Vienna, Department of Biomedical Imaging and Image-guided Therapy, Vienna, Austria.ORCID 0000-0002-6119-6364
Mathias ProkopRadboud University Nijmegen Medical Center, Department of Radiology, Nijmegen, The Netherlands.
Paul Martin PutoraKantonsspital Sankt Gallen, Radiation Oncology, Sankt Gallen, Switzerland.
Janette RawlinsonEuropean Lung Foundation, Tipton, UK.
Marie-Pierre RevelCochin Hospital, APHP, Radiology Department, Paris, France.ORCID 0000-0001-8213-7817
Annemiek SnoeckxUniversity Hospital Antwerp, Radiology, Edegem, Belgium.
Giulia VeronesiHumanitas Research Hospital, Division of Thoracic and General Surgery, Rozzano, Italy.
Rozemarijn VliegenthartUMCG, Groningen, The Netherlands.
Sabine WeckbachUniversitatsKlinikum Heidelberg, Heidelberg, Germany.
Torsten G BlumHELIOS Klinikum Emil von Behring GmbH, Lungenklinik Heckeshorn, Berlin, Germany.
David R BaldwinUniversity of Nottingham, Faculty of Medicine and Health Sciences, Nottingham, UK.ORCID 0000-0001-8410-7160

Funding

European Respiratory Society TF-2019-14
6 · The paper itself

Abstract

backgroundScreening for lung cancer with low radiation dose computed tomography has a strong evidence base, is being introduced in several European countries and is recommended as a new targeted cancer screening programme. The imperative now is to ensure that implementation follows an evidence-based process that will ensure clinical and cost effectiveness. This European Respiratory Society (ERS) task force was formed to provide an expert consensus for the management of incidental findings which can be adapted and followed during implementation.

methodsA multi-European society collaborative group was convened. 23 topics were identified, primarily from an ERS statement on lung cancer screening, and a systematic review of the literature was conducted according to ERS standards. Initial review of abstracts was completed and full text was provided to members of the group for each topic. Sections were edited and the final document approved by all members and the ERS Science Council.

resultsNine topics considered most important and frequent were reviewed as standalone topics (interstitial lung abnormalities, emphysema, bronchiectasis, consolidation, coronary calcification, aortic valve disease, mediastinal mass, mediastinal lymph nodes and thyroid abnormalities). Other topics considered of lower importance or infrequent were grouped into generic categories, suitable for general statements.

conclusionsThis European collaborative group has produced an incidental findings statement that can be followed during lung cancer screening. It will ensure that an evidence-based approach is used for reporting and managing incidental findings, which will mean that harms are minimised and any programme is as cost-effective as possible.

Indexed as

Lung NeoplasmsEarly Detection of CancerExpressed Sequence TagsHumansIncidental FindingsSystematic Reviews as TopicTomography, X-Ray Computed

Identifiers

PMID37804174
PMCPMC10876118

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