Evidence map›Paper›PMID 38641742›Full record

ArticleNature medicine2024

Risk-based lung cancer screening performance in a universal healthcare setting.

Martin C Tammemägi, Gail E Darling, Heidi Schmidt, Meghan J Walker, Deanna Langer, Yvonne W Leung, Kathy Nguyen, Beth Miller, Diego Llovet, William K Evans and 34 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
11.7field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Clinical value of combinedOncology reviews · 2026
    Pooled it
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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

44 authors at 3 institutions in 1 country.

Martin C TammemägiOntario Health (Cancer Care Ontario), Toronto, ON, Canada. martin.tammemagi@brocku.ca.ORCID 0000-0002-4989-5058
Gail E DarlingOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Heidi SchmidtOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Meghan J WalkerOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Deanna LangerOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Yvonne W LeungOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Kathy NguyenOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Beth MillerOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Diego LlovetOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0002-6911-5143
William K EvansOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Daniel N BuchananOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0001-6589-8606
Gabriela Espino-HernandezOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Usman AslamOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Amanda SheppardOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Aisha LoftersOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Micheal McInnisUniversity Health Network, Toronto, ON, Canada.ORCID 0000-0002-5725-3258
Julian DobranowskiOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Steven HabbousOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0002-9650-9105
Christian FinleyOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Marianne LuettschwagerOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Erin CameronOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Caroline BravoOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0003-3941-705X
Anna BanaszewskaOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Katherin Creighton-TaylorOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Brenda FernandesOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Julia GaoOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Alex LeeOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Van LeeOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Bogdan PylypenkoOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Monica YuOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Erin SvaraOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Shivali KaushalOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Lynda MacNivenOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Caitlin McGarryOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Lauren Della MoraOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Liz KoenOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Jessica MoffattOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Michelle ReyOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Marta YurcanOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Laurie BourneOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Gillian BromfieldOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0009-0009-8916-9462
Melissa CoulsonOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Rebecca TruscottOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Linda RabeneckOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Cancer Care Ontario · CABrock University · CAUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Globally, lung cancer is the leading cause of cancer death. Previous trials demonstrated that low-dose computed tomography lung cancer screening of high-risk individuals can reduce lung cancer mortality by 20% or more. Lung cancer screening has been approved by major guidelines in the United States, and over 4,000 sites offer screening. Adoption of lung screening outside the United States has, until recently, been slow. Between June 2017 and May 2019, the Ontario Lung Cancer Screening Pilot successfully recruited 7,768 individuals at high risk identified by using the PLCOm2012noRace lung cancer risk prediction model. In total, 4,451 participants were successfully screened, retained and provided with high-quality follow-up, including appropriate treatment. In the Ontario Lung Cancer Screening Pilot, the lung cancer detection rate and the proportion of early-stage cancers were 2.4% and 79.2%, respectively; serious harms were infrequent; and sensitivity to detect lung cancers was 95.3% or more. With abnormal scans defined as ones leading to diagnostic investigation, specificity was 95.5% (positive predictive value, 35.1%), and adherence to annual recall and early surveillance scans and clinical investigations were high (>85%). The Ontario Lung Cancer Screening Pilot provides insights into how a risk-based organized lung screening program can be implemented in a large, diverse, populous geographic area within a universal healthcare system.

Indexed as

Lung NeoplasmsEarly Detection of CancerHumansLungTomography, X-Ray ComputedUnited StatesUniversal Health Care

Identifiers

PMID38641742
OpenAlexW4394981564

What OpenQuestion holds

Textmetadata
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.