Evidence map›Paper›PMID 40741727›Full record

ArticleCancer medicine2025

External Validation of Lung Cancer Prediction Models Combining Epidemiological Predictors in Chinese Ever and Never Smokers: Guangzhou Biobank Cohort Study.

Bo Xing Feng, Xin Yue Pan, Jing Ru Huang, Chao Qiang Jiang, Wei Sen Zhang, Feng Zhu, Jing Pan, Tai Hing Lam

Abstract readValidation Study
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Bo Xing FengSchool of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0009-0001-0488-4347
Xin Yue PanSchool of Public Health, Guangzhou Medical University, Guangzhou, Guangdong, China.
Jing Ru HuangSchool of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0009-0001-4037-5283
Chao Qiang JiangGuangzhou NO. 12 Hospital, Guangzhou, Guangdong, China.
Wei Sen ZhangGuangzhou NO. 12 Hospital, Guangzhou, Guangdong, China.
Feng ZhuGuangzhou NO. 12 Hospital, Guangzhou, Guangdong, China.
Jing PanGuangzhou NO. 12 Hospital, Guangzhou, Guangdong, China.
Tai Hing LamSchool of Public Health, The University of Hong Kong, Hong Kong, China.

Funding

Guangzhou Municipal Science and Technology Bureau 2002Z2-E2051Guangzhou Municipal Science and Technology Bureau 2012J5100041Guangzhou Public Health Bureau 201102A211004011Guangzhou Science and Technology Bureau 2023A03J0507University of Birmingham, UKUniversity of Hong Kong Foundation for Educational Development and Research C20400.28505200University of Hong Kong Foundation for Educational Development and Research SN/1f/HKUF-DC
6 · The paper itself

Abstract

objectiveThis study aimed to externally validate existing lung cancer models using data from the Guangzhou Biobank Cohort Study (GBCS) and compare their predictive performance for Chinese ever and never smokers.

methodsWe evaluated the discrimination and calibration of LCRAT (Lung Cancer Risk Assessment Tool), LLP version 2 (Liverpool Lung Project version 2), LLP version 3 (Liverpool Lung Project version 3), HUNT (HUNT was derived from the Nord-Trøndelag Health Study), OWL (Optimized Early Warning Model for Lung Cancer Risk), LCRS (Lung Cancer Risk Score), PLCOm2012 (Prostate, Lung, Colorectal, and Ovarian 2012 model), PLCOall2014 (Prostate, Lung, Colorectal, and Ovarian 2014 model), NHIS (Korean National Health Insurance Service), LLPi (Liverpool Lung Project Risk Prediction Model for Lung Cancer Incidence), Pittsburgh, and Bach models. We compared the performance of models and Chinese lung cancer screening (T/CPMA 013-2020), US Preventive Services Task Force 2021 (USPSTF-2021) and Nederlands-Leuvens Longkanker Screenings Onderzoek (NELSON) criteria.

resultsThe LLP version 2, LLP version 3, OWL, LCRS, PLCOall2014, and LLPi models showed better performance in ever smokers than in never smokers, with higher AUC (0.72-0.82 vs. 0.69-0.71) and E/O (expected to observed) ratios (0.57-0.79 vs. 0.60-0.69), while the LCRAT, HUNT, PLCOm2012, NHIS, Pittsburgh, and Bach models showed good performance in ever smokers, with AUC ranging from 0.70 to 0.79 and E/O ratios from 0.57 to 0.75. The T/CPMA 013-2020, USPSTF-2021, and NELSON criteria identified 56.52%-75.58% of high-risk individuals at 5, 6, 6.6, 8.7, and 10 years, while the LCRAT, LLP version 2, LLP version 3, HUNT, OWL, LCRS, PLCOm2012, PLCOall2014, NHIS, LLPi, Pittsburgh, and Bach models identified 70.70%-89.72% of high-risk individuals.

conclusionsMost lung cancer risk prediction models showed good performance and identified more cases than screening criteria. Replacing screening criteria with risk prediction models may increase lung cancer screening efficiency.

Indexed as

Lung NeoplasmsNon-SmokersSmokersSmokingAdultAgedBiological Specimen BanksChinaCohort StudiesEarly Detection of CancerEast Asian PeopleFemaleHumansIncidenceMaleMiddle Agedexternal validationlung cancermodel performancerisk prediction

Identifiers

PMID40741727
PMCPMC12311613

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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.