Evidence map›Paper›PMID 41224372›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2025

Knowledge translation strategies to enhance lung cancer screening programme implementation: a systematic review and meta-analysis.

Paul Dawkins, Gabrielle Ou, Angela Melder, Shi Lee, Nicholas Ye, Rob G Stirling

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paul DawkinsDepartment of Respiratory Medicine, Middlemore Hospital, Auckland, New Zealand Paul.Dawkins@middlemore.co.nz.
Gabrielle OuFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Angela MelderSchool of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.
Shi LeeSchool of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.
Nicholas YeUniversity of Otago Medical School, Dunedin, New Zealand.
Rob G StirlingDepartment of Respiratory Medicine, Alfred Health, Melbourne, Australia.ORCID https://orcid.org/0000-0001-9877-5450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow-dose computed tomography (LDCT) lung cancer screening (LCS) improves outcomes including mortality in clinical trials, but it is unclear whether this evidence is implemented effectively in real-world practice settings. This systematic review explored how knowledge translation (KT) strategies have been used to improve knowledge, decisional confidence and participation in LDCT LCS programmes.

methodsLiterature searches were performed for comparative studies incorporating KT strategies in relation to LDCT LCS. Articles included a KT intervention intended to facilitate knowledge, participation in screening, improve decisional confidence or increase screening uptake.

results40 studies were selected for data extraction. Studies emanated from the USA (36), Canada (one), the UK (two) and Japan (one), published between 2014 and 2024. KT interventions reported included 41 implementation strategies targeting staff training, patient and provider education, shared decision-making tools, nurse clinics, navigators, forms, electronic reminders and triggers, data presentation modalities, materials targeting specific populations, and quality improvement tools. Meta-analysis identified significant increase in knowledge of risk (OR 2.87, 95% CI 1.29-6.38), LCS candidacy (OR 2.50, 95% CI 1.51-4.14), risk-benefit knowledge (OR 2.82, 95% CI 1.21-6.58), awareness of screening test (OR 11.91, 9.00-15.76) and increased LCS screening participation (OR 2.24, 95% CI 1.44-3.47) in response to KT strategies.

conclusionThis systematic review identified multiple studies addressing the utilisation and effectiveness of implementation science strategies in KT interventions in the context of LCS. These included a broad range of implementation strategies and KT methodologies that were associated with increased LCS knowledge and participation. There is an urgent need to identify effective implementation strategies leading to enhanced knowledge and screening participation amongst at risk individuals in LDCT LCS programmes.

Indexed as

Early Detection of CancerHealth Knowledge, Attitudes, PracticeLung NeoplasmsTomography, X-Ray ComputedTranslational Research, BiomedicalFemaleHumansMaleMiddle AgedPredictive Value of TestsRisk Assessment

Identifiers

PMID41224372
PMCPMC12606067

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.