TY - JOUR
T1 - Implementing lung cancer screening: baseline results from a community-based ‘Lung Health Check’ pilot in deprived areas of Manchester.
AU - Crosbie, Philip
AU - Balata, Haval
AU - Evison, Matthew
AU - Bayliss-Brideaux, V
AU - Colligan, D
AU - Duerden, R
AU - Eaglesfield, J
AU - Elton, P
AU - Foster, J.
AU - Greaves, M
AU - Hayler, G
AU - Higgins, C
AU - Howells, J.
AU - Irion, Klaus
AU - Karunaratne, D
AU - Kelly, J
AU - Z, King
AU - Manson, S
AU - Mellor, S
AU - Miller, D
AU - Myerscough, A
AU - Newton, T.
AU - O'Leary, M
AU - Pearson, R.
AU - Pickford, J
AU - Sawyer, R
AU - Screaton, N
AU - Sharman, A
AU - Simons, M
AU - Smith, E
AU - Taylor, B
AU - Taylor, S.
AU - Walsham, A
AU - Watts, A
AU - Whittaker, J.
AU - Yarnell, L
AU - Threlfall, A
AU - Barber, PV
AU - Tonge, J
AU - Booton, Richard
N1 - Funding Information:
1Manchester Thoracic Oncology Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK 2Division of Molecular and Clinical Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK 3Macmillan Cancer Improvement Partnership, Manchester Clinical Commissioning Group, Manchester, UK 4Manchester Health and Care Commissioning, Manchester, UK 5Greater Manchester, Lancashire, South Cumbria Strategic Clinical Network, Manchester, UK 6Manchester City Council, Manchester, UK 7Department of Radiology, Royal Preston Hospital, Preston, UK 8Department of Radiology, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, UK 9Department of Radiology, Royal Blackburn Hospital, Blackburn, UK 10The Black Health Agency, Manchester, UK 11Macmillan Cancer Support, Manchester, UK 12Department of Radiology, Papworth Hospital, Cambridge, UK 13Department of Radiology, Christie NHS Foundation Trust, Manchester, UK 14Department of Radiology, Salford Royal NHS Foundation Trust, Salford, UK 15Department of Radiology, Stockport NHS Foundation Trust, Stockport, UK Contributors Service concept: RB, PAC, PVB, AT and JT. Service development by members of the Macmillan Cancer Improvement Partnership: JT, ZK, GH, CH, PVB, MA, VB-B, JE, DM, JF, MS, AM, MO’L, RP, JP, LY, AT, PE, DC, ST, RB, PAC, ES, DK, BT and ST. Service operation and delivery by the Manchester University NHS Foundation Trust lung cancer team: HB, ME, TE, JK, SMa, AWat, RD, MG, RS, AS, ES, PVB, PAC and RB. Radiology reporting by the radiology consortium: RD, MG, JH, KI, DK, SMe, TN, RS, NJS, AS, ES, BT, AWal and JW. Analysis of data and drafting of the manuscript: PAC, HB, LY, PVB, ME, JT and RB. Guarantors of overall content: PAC and RB. Review, revision and agreement of final manuscript: all authors.
Funding Information:
Funding The pilot was supported by funding from Macmillan Cancer Support. The Macmillan Cancer Improvement Partnership facilitated the design and development of the pilot. The service was delivered by the lung cancer team at Wythenshawe Hospital, Manchester University NHS Foundation Trust, in partnership with Alliance Medical. LDCT reporting was performed by a consortium of NHS consultant radiologists with subspeciality interest in thoracic medicine. The pilot service was commissioned by South Manchester Clinical Commissioning Group on behalf of the three Manchester Clinical Commissioning Groups. Community engagement was delivered by multiple members of the team and was led by MCIP and the Manchester CCGs in conjunction with Manchester City Council, Macmillan Cancer Support and BHA for Equality.
Publisher Copyright:
© 2019 Article author(s) (or their employer(s).
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/2/13
Y1 - 2018/2/13
N2 - We report baseline results of a community-based, targeted, low dose CT (LDCT) lung cancer screening pilot in deprived areas of Manchester. Ever smokers, age 55-74, were invited to ‘Lung Health Checks’ next to local shopping centres, with immediate access to LDCT for those at high-risk (6-year risk ≥1.51%, PLCOM2012 calculator). 75% of attendees (n=1893/2,541) were ranked in the lowest deprivation quintile; 56% were high-risk and of 1,384 individuals screened 3% (95% CI 2.3-4.1%) had lung cancer (80% early stage) of whom 65% had surgical resection. Taking lung cancer screening into communities, with a ‘Lung Health Check’ approach, is effective and engages populations in deprived areas.
AB - We report baseline results of a community-based, targeted, low dose CT (LDCT) lung cancer screening pilot in deprived areas of Manchester. Ever smokers, age 55-74, were invited to ‘Lung Health Checks’ next to local shopping centres, with immediate access to LDCT for those at high-risk (6-year risk ≥1.51%, PLCOM2012 calculator). 75% of attendees (n=1893/2,541) were ranked in the lowest deprivation quintile; 56% were high-risk and of 1,384 individuals screened 3% (95% CI 2.3-4.1%) had lung cancer (80% early stage) of whom 65% had surgical resection. Taking lung cancer screening into communities, with a ‘Lung Health Check’ approach, is effective and engages populations in deprived areas.
KW - lung cancer
UR - http://www.scopus.com/inward/record.url?scp=85045884666&partnerID=8YFLogxK
U2 - 10.1136/thoraxjnl-2017-211377
DO - 10.1136/thoraxjnl-2017-211377
M3 - Article
SN - 0040-6376
VL - 74
SP - 405
EP - 409
JO - Thorax
JF - Thorax
IS - 4
ER -