Evidence map›Paper›PMID 39538041›Full record

SynthesisJournal of general internal medicine2025

Efficacy of Interventions Intended to Increase Lung Cancer Screening Rates: A Systematic Review and Meta-analysis.

Shina Satoh, Manav Shah, Mitchell Sungelo, Louise Falzon, Alex Makhnevich, Brett Bade, Elizabeth Cohn, Suhail Raoof, Jesse Chusid, Martin Lesser and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

13 authors.

Shina SatohNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Manav ShahNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Mitchell SungeloNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Louise FalzonThe University of Sheffield, Sheffield, UK.
Alex MakhnevichNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Brett BadeNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Elizabeth CohnNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Suhail RaoofNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Jesse ChusidNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Martin LesserNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Karina DavidsonNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA.
Gerard A SilvestriMedical University of South Carolina, Charleston, SC, USA.
Stuart L CohenNorthwell Health, 2000 Marcus Ave., Suite 300, New Hyde Park, NY, 11042-1069, USA. slcohen@northwell.edu.ORCID 0000-0003-1294-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew eligible patients in the United States participate in lung cancer screening (LCS) with low-dose computed tomography (LDCT).

objectiveWhat is the efficacy of interventions to increase LCS participation?

designWe performed a systematic review following a prespecified protocol registered in PROSPERO (CRD42021283984). In June/July of 2021, we searched Ovid MEDLINE, Embase, Cochrane, CENTRAL, ClinicalTrials.gov, WHO International Clinical Trials Registry Platform, and Epistemonikos from 1946 to October 2021 to identify studies evaluating interventions to increase LCS participation.

participantsThirteen of 2761 studies met inclusion criteria for data extraction. Of these, six had results available (five RCTs and one prospective observational study). The studies had predominantly White and non-Hispanic participants. MAIN MEASURES: An intention-to-treat analysis was used to calculate each study's relative risk (RR) to increase LCS. Effect sizes were pooled using a random-effects model with a subgroup analysis for multi- versus single-step interventions. Risk of bias was evaluated with the revised Cochrane risk-of-bias tool (RoB 2) and risk of bias in non-randomized studies of interventions (ROBINS-I). KEY

resultsOverall, the proportion of screening LDCTs performed did not improve in the intervention group relative to the comparator group (RR [95% CI] of 1.30 [0.74, 2.29]), and meta-analysis indicated high heterogeneity of studies (I

conclusionEvidence on efficacy of interventions to increase LCS participation is limited due to a small number of prospective studies performed in non-diverse populations with critical risk of bias. Further, overall, studied interventions did not improve lung cancer screening participation, though interventions targeting multiple barriers may have some benefit.

Indexed as

Early Detection of CancerLung NeoplasmsHumansRandomized Controlled Trials as TopicTomography, X-Ray Computedinterventionslow-dose computed tomography (LDCT)lung cancer screening (LCS)meta-analysissystematic review

Identifiers

PMID39538041
PMCPMC12045837

What OpenQuestion holds

Textmetadata
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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.