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Should we screen for lung cancer? A 10-country analysis identifying key decision-making factors

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  • Poon, Charlotte
  • Haderi, Artes
  • Roediger, Alexander
  • Yuan, Megan

Abstract

The need for early detection, both early diagnosis and screening is essential for improved prognosis in lung cancer. The effectiveness of lung cancer screening using low-dose computed tomography (LDCT) for high-risk patients has been shown by extensive clinical evidence including the National Lung Cancer Screening Trial (NLST) and the Dutch-Belgian lung cancer screening trial (NELSON) which has triggered political consideration of a formal programme across countries. However, implementation of these is still limited. This study investigates how governments make decisions on the implementation of lung cancer screening, identifying key consideration factors through 10 case study countries: Australia, Canada, Croatia, France, Germany, Japan, South Korea, Switzerland, UK, and US. We identified five decision-making factors (1) recognition of the disease burden and the value of early detection, (2) strong clinical data showing mortality reduction and benefit-risk analysis relevant to the local context, (3) cost-effectiveness data and budget impact, (4) local feasibility demonstration and (5) a clear and integrated decision-making mechanism involving relevant stakeholders. The set of factors identified in this paper can help advocates address knowledge gaps, identify the key focus areas for discussions with policymakers evaluating the opportunities for lung cancer screening programmes in their local context. Ultimately, this should allow policymakers to make more informed decisions on lung cancer screening to best improve lung cancer outcomes.

Suggested Citation

  • Poon, Charlotte & Haderi, Artes & Roediger, Alexander & Yuan, Megan, 2022. "Should we screen for lung cancer? A 10-country analysis identifying key decision-making factors," Health Policy, Elsevier, vol. 126(9), pages 879-888.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:9:p:879-888
    DOI: 10.1016/j.healthpol.2022.06.003
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    1. Milan M. S. Obradović & Baptiste Hamelin & Nenad Manevski & Joana Pinto Couto & Atul Sethi & Marie-May Coissieux & Simone Münst & Ryoko Okamoto & Hubertus Kohler & Alexander Schmidt & Mohamed Bentires, 2019. "Glucocorticoids promote breast cancer metastasis," Nature, Nature, vol. 567(7749), pages 540-544, March.
    2. Lynne F Forrest & Jean Adams & Helen Wareham & Greg Rubin & Martin White, 2013. "Socioeconomic Inequalities in Lung Cancer Treatment: Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 10(2), pages 1-25, February.
    3. François Bertucci & Charlotte K. Y. Ng & Anne Patsouris & Nathalie Droin & Salvatore Piscuoglio & Nadine Carbuccia & Jean Charles Soria & Alicia Tran Dien & Yahia Adnani & Maud Kamal & Séverine Garnie, 2019. "Genomic characterization of metastatic breast cancers," Nature, Nature, vol. 569(7757), pages 560-564, May.
    4. Xiujin Wu & Wenhua Zeng & Lvqing Yang & Jianbing Xiahou & Jinsheng Lu & Fan Lin & Fan Lin & Jianbing Xiahou & Shixuan Xie & Shixuan Xie, 2019. "Breast Cancer Category Based on Multi-View Clustering," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 18(2), pages 13376-13381, May.
    5. Lydia W. S. Finley, 2019. "Metabolic signal curbs cancer-cell migration," Nature, Nature, vol. 571(7763), pages 39-40, July.
    6. Paul A. Stewart & Eric A. Welsh & Robbert J. C. Slebos & Bin Fang & Victoria Izumi & Matthew Chambers & Guolin Zhang & Ling Cen & Fredrik Pettersson & Yonghong Zhang & Zhihua Chen & Chia-Ho Cheng & Ra, 2019. "Proteogenomic landscape of squamous cell lung cancer," Nature Communications, Nature, vol. 10(1), pages 1-17, December.
    7. Cheng-Hsueh Lee & Lih-Chyang Chen & Chia-Cheng Yu & Wen-Hsin Lin & Victor C. Lin & Chao-Yuan Huang & Te-Ling Lu & Shu-Pin Huang & Bo-Ying Bao, 2019. "Prognostic Value of CD1B in Localised Prostate Cancer," IJERPH, MDPI, vol. 16(23), pages 1-8, November.
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