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People most at risk of lung cancer are least likely to attend hospital screening. Manchester showed mobile scanners in car parks reach them. Make this the default model.
The Manchester Lung Health Check found high uptake and a stage shift (about 80% stage I-II) using mobile CT in deprived communities. Propose that national lung screening programmes mandate mobile delivery with same-day cessation support in the most deprived quintile, with uptake and stage as performance metrics.
One bottleneck page and 32 idea pages on OnCo cite this paper by its DOI; this record gives the citation a page of its own so a reader can follow it without leaving OnCo. Read the abstract above alongside the citing pages listed under Related; the record was created automatically from the Europe PMC entry and its figures have not been checked by hand.
The clearest published demonstration that a screening eligibility rule can be accurate on average and systematically wrong for a group. It is the empirical core of the argument for replacing pack-year thresholds with individual risk models.
The deprivation gradient in lung cancer is not only about who gets the disease. Among people who already have it, and at the same stage, poorer patients are less likely to be offered the treatment that works.
For people with a heavy smoking history, an annual low-dose CT scan is one of the few screening tests proven to reduce cancer deaths. Most abnormal scans are not cancer, so screening must be paired with careful nodule management. It does not apply to never-smokers or light smokers.
Shares Treat the deprivation gradient in lung cancer as a defect in delivery that can be fixed and measured, Socioeconomic inequalities in lung cancer treatment: systematic review and meta-analysis, Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers, Publish the four numbers the NHS lung cancer pathway does not currently measure: reflex testing rate, genomic turnaround, surgical access and a lung-specific waiting time in every nation.
Shares Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers, NLST: yearly low-dose CT scans cut lung cancer deaths in heavy smokers, Early detection of cancer, Lung cancer roadmap: from Doll and Hill and the naming of tobacco, through the cytotoxic plateau, computed tomography screening, EGFR and ALK, immunotherapy by PD-L1, the perioperative trials and PACIFIC, to DLL3 in small-cell disease and a 2032 registry watch.
Shares Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers, NLST: yearly low-dose CT scans cut lung cancer deaths in heavy smokers, Lung cancer roadmap: from Doll and Hill and the naming of tobacco, through the cytotoxic plateau, computed tomography screening, EGFR and ALK, immunotherapy by PD-L1, the perioperative trials and PACIFIC, to DLL3 in small-cell disease and a 2032 registry watch, Prevention we already have is not deployed.
Shares Early detection of cancer, Prevention we already have is not deployed, The hardest cancers are found late.
Shares Early detection of cancer, Prevention we already have is not deployed, The hardest cancers are found late.
Shares Early detection of cancer, Prevention we already have is not deployed, The hardest cancers are found late.
Shares Early detection of cancer, CT (computed tomography), The hardest cancers are found late, Non-small-cell lung cancer.
Shares Early detection of cancer, CT (computed tomography), The hardest cancers are found late, Non-small-cell lung cancer.