Table 1.

Study details

YearAuthorsJournalSettingCountryStudy typePopulationMean ageMale (%)NCXRs (n)DiagnosisSensitivity (95% CI)SpecificityRisk of biasa
2006Bjerager et al.The British Journal of General PracticePrimary careDenmarkRetrospectivePatients diagnosed with lung cancer in primary care66648458NR79.31% (66.65% to 88.83%)UConcerns
2006Stapley et al.The British Journal of General PracticePrimary careEnglandRetrospectivePatients diagnosed with lung cancer in primary care7169247164Pathological76.83% (69.61% to 83.05%)UConcerns
2006Speets et al.The British Journal of General PracticePrimary careNetherlandsProspectivePatients referred for CXR from primary care5753870142NR100% (71.51% to 100.00%)UHigh
2012Harris et al.Lung CancerAcute general hospitalEnglandRetrospectivePatients referred for CXR from primary careNRNR798797NR100.00% (98.31% to 100.00%)UHigh
2014Ades et al.International Journal of EpidemiologyPrimary careEnglandRetrospectivePatients identified from lung cancer registry with matched controlsNRNR1482268Radiological91.02% (85.62% to 94.89%)56.44% (46.20% to 66.28%)Concerns
2014Robinson et al.European Respiratory JournalAcute general hospitalEnglandRetrospectivePatients referred for TWR from primary careNRNR143143NR72.5% (56.11% to 85.40%)60.19% (50.08% to 69.71%)High
2015Neal et al.Primary Health Care Research & DevelopmentPrimary careWalesRetrospectivePatients diagnosed with lung cancer69NR11879Pathological70.89% (59.58% to 80.57%)UHigh
2017Neal et al.British Journal of CancerPrimary careWales and EnglandProspectivePatients referred for CXR from primary care6851255250Pathological75% (19.41% to 99.37%)99.19% (97.09% to 99.90%)Low
2017Kedgley et al.Lung CancerThoracic medicine clinic in acute hospitalEnglandRetrospectivePatients referred for TWR from primary care64NR5638NR76.92% (46.19% to 94.96%)40.00% (21.13% to 61.33%)High
2018Woznitza et al.Clinical RadiologyAcute general hospitalEnglandProspectivePatients referred for CXR from primary care53NR1687105NR80.00% (44.39% to 97.48%)82.11% (72.90% to 89.22%)Concerns
YearAuthorsJournalSettingCountryStudy typePopulationMean ageMale (%)NCXRs (n)DiagnosisSensitivity (95% CI)SpecificityRisk of biasa
2006Bjerager et al.The British Journal of General PracticePrimary careDenmarkRetrospectivePatients diagnosed with lung cancer in primary care66648458NR79.31% (66.65% to 88.83%)UConcerns
2006Stapley et al.The British Journal of General PracticePrimary careEnglandRetrospectivePatients diagnosed with lung cancer in primary care7169247164Pathological76.83% (69.61% to 83.05%)UConcerns
2006Speets et al.The British Journal of General PracticePrimary careNetherlandsProspectivePatients referred for CXR from primary care5753870142NR100% (71.51% to 100.00%)UHigh
2012Harris et al.Lung CancerAcute general hospitalEnglandRetrospectivePatients referred for CXR from primary careNRNR798797NR100.00% (98.31% to 100.00%)UHigh
2014Ades et al.International Journal of EpidemiologyPrimary careEnglandRetrospectivePatients identified from lung cancer registry with matched controlsNRNR1482268Radiological91.02% (85.62% to 94.89%)56.44% (46.20% to 66.28%)Concerns
2014Robinson et al.European Respiratory JournalAcute general hospitalEnglandRetrospectivePatients referred for TWR from primary careNRNR143143NR72.5% (56.11% to 85.40%)60.19% (50.08% to 69.71%)High
2015Neal et al.Primary Health Care Research & DevelopmentPrimary careWalesRetrospectivePatients diagnosed with lung cancer69NR11879Pathological70.89% (59.58% to 80.57%)UHigh
2017Neal et al.British Journal of CancerPrimary careWales and EnglandProspectivePatients referred for CXR from primary care6851255250Pathological75% (19.41% to 99.37%)99.19% (97.09% to 99.90%)Low
2017Kedgley et al.Lung CancerThoracic medicine clinic in acute hospitalEnglandRetrospectivePatients referred for TWR from primary care64NR5638NR76.92% (46.19% to 94.96%)40.00% (21.13% to 61.33%)High
2018Woznitza et al.Clinical RadiologyAcute general hospitalEnglandProspectivePatients referred for CXR from primary care53NR1687105NR80.00% (44.39% to 97.48%)82.11% (72.90% to 89.22%)Concerns

CXR, chest radiograph; NR, not reported; U, unable to calculate.

a

Overall risk, synthesised using QUADAS-2 tool.

Table 1.

Study details

YearAuthorsJournalSettingCountryStudy typePopulationMean ageMale (%)NCXRs (n)DiagnosisSensitivity (95% CI)SpecificityRisk of biasa
2006Bjerager et al.The British Journal of General PracticePrimary careDenmarkRetrospectivePatients diagnosed with lung cancer in primary care66648458NR79.31% (66.65% to 88.83%)UConcerns
2006Stapley et al.The British Journal of General PracticePrimary careEnglandRetrospectivePatients diagnosed with lung cancer in primary care7169247164Pathological76.83% (69.61% to 83.05%)UConcerns
2006Speets et al.The British Journal of General PracticePrimary careNetherlandsProspectivePatients referred for CXR from primary care5753870142NR100% (71.51% to 100.00%)UHigh
2012Harris et al.Lung CancerAcute general hospitalEnglandRetrospectivePatients referred for CXR from primary careNRNR798797NR100.00% (98.31% to 100.00%)UHigh
2014Ades et al.International Journal of EpidemiologyPrimary careEnglandRetrospectivePatients identified from lung cancer registry with matched controlsNRNR1482268Radiological91.02% (85.62% to 94.89%)56.44% (46.20% to 66.28%)Concerns
2014Robinson et al.European Respiratory JournalAcute general hospitalEnglandRetrospectivePatients referred for TWR from primary careNRNR143143NR72.5% (56.11% to 85.40%)60.19% (50.08% to 69.71%)High
2015Neal et al.Primary Health Care Research & DevelopmentPrimary careWalesRetrospectivePatients diagnosed with lung cancer69NR11879Pathological70.89% (59.58% to 80.57%)UHigh
2017Neal et al.British Journal of CancerPrimary careWales and EnglandProspectivePatients referred for CXR from primary care6851255250Pathological75% (19.41% to 99.37%)99.19% (97.09% to 99.90%)Low
2017Kedgley et al.Lung CancerThoracic medicine clinic in acute hospitalEnglandRetrospectivePatients referred for TWR from primary care64NR5638NR76.92% (46.19% to 94.96%)40.00% (21.13% to 61.33%)High
2018Woznitza et al.Clinical RadiologyAcute general hospitalEnglandProspectivePatients referred for CXR from primary care53NR1687105NR80.00% (44.39% to 97.48%)82.11% (72.90% to 89.22%)Concerns
YearAuthorsJournalSettingCountryStudy typePopulationMean ageMale (%)NCXRs (n)DiagnosisSensitivity (95% CI)SpecificityRisk of biasa
2006Bjerager et al.The British Journal of General PracticePrimary careDenmarkRetrospectivePatients diagnosed with lung cancer in primary care66648458NR79.31% (66.65% to 88.83%)UConcerns
2006Stapley et al.The British Journal of General PracticePrimary careEnglandRetrospectivePatients diagnosed with lung cancer in primary care7169247164Pathological76.83% (69.61% to 83.05%)UConcerns
2006Speets et al.The British Journal of General PracticePrimary careNetherlandsProspectivePatients referred for CXR from primary care5753870142NR100% (71.51% to 100.00%)UHigh
2012Harris et al.Lung CancerAcute general hospitalEnglandRetrospectivePatients referred for CXR from primary careNRNR798797NR100.00% (98.31% to 100.00%)UHigh
2014Ades et al.International Journal of EpidemiologyPrimary careEnglandRetrospectivePatients identified from lung cancer registry with matched controlsNRNR1482268Radiological91.02% (85.62% to 94.89%)56.44% (46.20% to 66.28%)Concerns
2014Robinson et al.European Respiratory JournalAcute general hospitalEnglandRetrospectivePatients referred for TWR from primary careNRNR143143NR72.5% (56.11% to 85.40%)60.19% (50.08% to 69.71%)High
2015Neal et al.Primary Health Care Research & DevelopmentPrimary careWalesRetrospectivePatients diagnosed with lung cancer69NR11879Pathological70.89% (59.58% to 80.57%)UHigh
2017Neal et al.British Journal of CancerPrimary careWales and EnglandProspectivePatients referred for CXR from primary care6851255250Pathological75% (19.41% to 99.37%)99.19% (97.09% to 99.90%)Low
2017Kedgley et al.Lung CancerThoracic medicine clinic in acute hospitalEnglandRetrospectivePatients referred for TWR from primary care64NR5638NR76.92% (46.19% to 94.96%)40.00% (21.13% to 61.33%)High
2018Woznitza et al.Clinical RadiologyAcute general hospitalEnglandProspectivePatients referred for CXR from primary care53NR1687105NR80.00% (44.39% to 97.48%)82.11% (72.90% to 89.22%)Concerns

CXR, chest radiograph; NR, not reported; U, unable to calculate.

a

Overall risk, synthesised using QUADAS-2 tool.

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