Implementing lung cancer screening: baseline results from a community-based ‘Lung Health Check’ pilot in deprived areas of Manchester

Crosbie, Philip; Balata, Haval; Evison, Matthew; Atack, Melanie; Bayliss-Brideaux, Val; Colligan, Denis; Duerden, Rebecca; Eaglesfield, Josephine; Edwards, Timothy L.; Elton, Peter; Foster, Julie; Greaves, Melanie; Hayler, Graham; Higgins, Coral; Howells, John; Irion, Klaus; Karunaratne, Devinda; Kelly, Jodie; King, Zoe; Manson, Sarah; Mellor, Stuart; Miller, Donna; Myerscough, Amanda; Newton, Tom; O’Leary, Michelle; Pearson, R.; Pickford, Julie; Sawyer, Rachel; Screaton, Nick; Sharman, Anna; Simmons, Maggi; Smith, Elaine; Taylor, Ben; Taylor, Sarah H.; Walsham, Anna; Watts, Angela; Whittaker, J.; Yarnell, Laura; Threlfall, Anthony; Barber, Philip; Tonge, Janet; Booton, Richard

doi:10.1136/thoraxjnl-2017-211377

Cited by 184 publications

(198 citation statements)

References 9 publications

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“…Results from the baseline screening round have previously been published [21]: 1384 individuals underwent LDCT screening in round 1 (T0) and of 1194 attendees in round 2 (T1) 958 individuals consented to study participation (80.2%). A total of 919 individuals were included in the analysis, 39 were excluded due to incomplete datasets ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…A detailed account of the Manchester LHC pilot has previously been published [21]. In brief, an invitation letter was sent to all those aged 55-74 registered at participating GP practices (n = 14) inviting eversmokers to book a LHC located in one of three retail locations in deprived areas of Manchester.…”

Section: The Manchester Lung Health Check Pilotmentioning

confidence: 99%

“…those most likely to gain are least likely to attend [17][18][19][20]. To address this paradox we in Manchester developed a community-based 'Lung Health Check' (LHC) approach to lung cancer screening in deprived areas of the city [21]. This provided a timely opportunity to explore smoking behaviour in more 'hard-to-reach' populations, which have been under-represented in screening studies to date [17].…”

Section: Introductionmentioning

confidence: 99%

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Attending community-based lung cancer screening influences smoking behaviour in deprived populations

et al. 2020

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Section: Resultsmentioning

confidence: 99%

Section: The Manchester Lung Health Check Pilotmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attending community-based lung cancer screening influences smoking behaviour in deprived populations

et al. 2020

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“…People who are found to have a high risk of developing lung cancer are also provided with radiographic images of their heart and lungs. 8 Success is monitored with data from routine expired carbon monoxide readings that also enables the program to make improvements and track long-term participation and abstinence rates.…”

Section: Smoking Cessation; Cost-effectiveness; Pharmacotherapymentioning

confidence: 99%

Public investment in smoking cessation

Cressman

2019

Canadian Journal of Respiratory, Critical Care, and Sleep Medic

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The economic evidence indicates that pharmacotherapy (PT)-based smoking cessation interventions are likely to offer good value from public healthcare investment. Even with low rates of long-term abstinence, PT therapy is among the most cost-effective cancer control interventions available. The arguments for providing universal access to PT are strong, however perhaps not as important as ensuring that PT and/or other smoking cessation interventions and services are used by people who need them. In 2018, nearly every Canadian has access to one 12-week course of PT per year; however, this is not enough to maximize the public health benefits that could be gained from smoking cessation interventions. The evidence show that program participation and long-term abstinence rates can be maximized by including behavior-based supports, individualized program invitations, and adapting programs to local or disadvantaged context. Long-term abstinence and participation rates are the greatest drivers of cost-effectiveness. Improving these outcomes, therefore, is the best way to maximize public investment in smoking cessation. Canadian policy needs to consider this evidence in the design and implementation of programs and to collect health information data on a national level to track success rates.

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“…Considering a likely increase in SABR provision in the UK, the aim of this survey was to provide an assessment of national lung SABR practice, with a particular focus on provision, personnel and training, technical delivery and IGRT protocols used in lung SABR patients. (11,12)…”

Section: Introductionmentioning

confidence: 99%

The advanced radiotherapy network (ART-NET) UK lung stereotactic ablative radiotherapy survey: national provision and a focus on image guidance

Beasley

Brown

McNair

et al. 2019

BJR

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ObjectiveStereotactic ablative radiotherapy (SABR) has become the standard of care for suitable patients with peripherally located early stage non-small cell lung cancer. Lung SABR requires strict image guided radiotherapy (IGRT) protocols to ensure its safe delivery. The aim of this survey was to provide an assessment of current lung SABR practice in the UK. MethodsAn online semi-structured survey containing a maximum of 32 questions regarding lung SABR, focussing on treatment image verification processes was piloted, developed and disseminated to the radiotherapy managers of 62 NHS centres across the UK. ResultsThe survey had a 100% complete response from NHS centres. Thirty-six centres (58%) currently deliver lung SABR, with half treating fewer than 50 patients per year. Six centres deliver SABR despite not being commissioned by the NHS to provide this service. There is wide variation in the use of IGRT. Eight different permutations of CBCT order within the workflow were reported. Almost half of lung centres (17/36, 47%) believe there is a need to update national image guidance associated with lung SABR, such as the use of 'day zero', mid treatment and post treatment CBCTs. ConclusionsOur results demonstrate wide variation in IGRT for lung SABR. There is an opportunity to develop existing IGRT workflows and the optimal approach to image guidance. Further work is required to investigate lung SABR provision and potential barriers to its implementation. Advances in knowledgeThis survey represents the most comprehensive and accurate assessment of lung SABR practice in the UK since the 2014 SABR consortium survey.

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Implementing lung cancer screening: baseline results from a community-based ‘Lung Health Check’ pilot in deprived areas of Manchester

Cited by 184 publications

References 9 publications

Attending community-based lung cancer screening influences smoking behaviour in deprived populations

Attending community-based lung cancer screening influences smoking behaviour in deprived populations

Public investment in smoking cessation

The advanced radiotherapy network (ART-NET) UK lung stereotactic ablative radiotherapy survey: national provision and a focus on image guidance

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