Evidence map›Paper›PMID 39516334›Full record

ArticleBJC reports2023

Developing a risk prediction tool for lung cancer in Kent and Medway, England: cohort study using linked data.

David Howell, Ross Buttery, Padmanabhan Badrinath, Abraham George, Rithvik Hariprasad, Ian Vousden, Tina George, Cathy Finnis

Abstract read
In one paragraph

Article in BJC reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Risk prediction for lung cancer screening: a systematic review and meta-regression.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  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

8 authors.

David HowellQuantum Analytica, Berkshire, UK. david@quantum-analytica.co.uk.
Ross ButteryQuantum Analytica, Berkshire, UK.
Padmanabhan BadrinathPublic Health Medicine, Kent County Council, Maidstone, England, UK.
Abraham GeorgePublic Health Medicine, Kent County Council, Maidstone, England, UK.
Rithvik HariprasadVellore Institute of Technology, Vellore, Tamil Nadu, India.
Ian VousdenThames Valley Cancer Alliance, Reading, UK.
Tina GeorgeKent & Medway Cancer Alliance, Maidstone, UK.
Cathy FinnisEarly Cancer Diagnosis and Cancer Health Inequalities, Kent and Medway Cancer Alliance, Maidstone, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer has the poorest survival due to late diagnosis and there is no universal screening. Hence, early detection is crucial. Our objective was to develop a lung cancer risk prediction tool at a population level.

methodsWe used a large place-based linked data set from a local health system in southeast England which contained extensive information covering demographic, socioeconomic, lifestyle, health, and care service utilisation. We exploited the power of Machine Learning to derive risk scores using linear regression modelling. Tens of thousands of model runs were undertaken to identify attributes which predicted the risk of lung cancer.

resultsInitially, 16 attributes were identified. A final combination of seven attributes was chosen based on the number of cancers detected which formed the Kent & Medway lung cancer risk prediction tool. This was then compared with the criteria used in the wider Targeted Lung Health Checks programme. The prediction tool outperformed by detecting 822 cases compared to 581 by the lung check programme currently in operation.

conclusionWe have demonstrated the useful application of Machine Learning in developing a risk score for lung cancer and discuss its clinical applicability.

Identifiers

PMID39516334
PMCPMC11523931

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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.