Evidence map›Paper›PMID 42549076›Full record

SynthesisPublic health reviews2026

Use and impact of risk-based eligibility models in low-dose computed tomography lung cancer screening: a systematic review.

Veronika Elisabeth Mikl, Mohammad Azizzadeh, Marie-Kathrin Breyer, Kevin Ten Haaf, Valentin Ritschl, Judit Simon, Tanja Stamm

Abstract readSystematic Review
In one paragraph

Synthesis in Public health reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Veronika Elisabeth MiklDoctoral Program Public Health, Institute of Outcomes Research, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.
Mohammad AzizzadehLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Marie-Kathrin BreyerLudwig Boltzmann Institute for Lung Health, Vienna, Austria.
Kevin Ten HaafDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands.
Valentin RitschlInstitute of Outcomes Research, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.
Judit SimonDepartment of Health Economics, Center for Public Health, Medical University of Vienna, Vienna, Austria.
Tanja StammInstitute of Outcomes Research, Center for Medical Data Science, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Low-dose computed tomography lung cancer screening (LDCT-LCS) significantly reduces mortality, yet identifying high-risk individuals while reducing over-screening remains challenging. Risk-based eligibility models are promising to optimize participant selection. Within the European context, we assessed the types, outcomes, and impact of these risk-based eligibility models for LDCT-LCS. Methods: We systematically reviewed prediction model studies (PROSPERO CRD42025648906) across EMBASE, MEDLINE, and Cochrane Central Register of Controlled Trials. We included original research on adults aged 18+ at risk for LC, excluding East-Asian populations. Study characteristics, model type, performance and outcomes were extracted for narrative synthesis. Results: The review included 46 articles (2003-2025), identifying 39 risk-prediction models. Models were primarily statistical (72%); PLCOm2012 was most frequent. Age (100%), smoking duration (91%), and intensity (72%) were the most common variables. Risk models improved eligibility and demonstrated cost-effectiveness over traditional criteria, though heterogeneity and population-specific calibration remain challenges. Conclusion: Risk-based eligibility models improve LDCT-LCS efficiency by enhancing detection rates and personalization. While PLCOm2012 is prominent, addressing model heterogeneity, ensuring population-specific validation, and calibration are crucial to optimize LDCT-LCS outcomes in Europe. Systematic Review Registration: Identifier CRD42025648906.

Indexed as

cost-effectivenessearly detectioneligibility criterialow-dose computed tomography (LDCT)lung cancer screening

Identifiers

PMID42549076
PMCPMC13430644

What OpenQuestion holds

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Registered trials

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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.