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

Abstract

We report baseline results of a community-based, targeted, low-dose CT (LDCT) lung cancer screening pilot in deprived areas of Manchester. Ever smokers, aged 55–74 years, were invited to ‘lung health checks’ (LHCs) 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=1893/2541) were ranked in the lowest deprivation quintile; 56% were high risk and of 1384 individuals screened, 3% (95% CI 2.3% to 4.1%) had lung cancer (80% early stage) of whom 65% had surgical resection. Taking lung cancer screening into communities, with an LHC approach, is effective and engages populations in deprived areas.

  • lung cancer

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Footnotes

  • 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 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.

  • Competing interests None declared.

  • Ethics approval North West-Greater Manchester West Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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