Clinical characteristics and outcomes in participants with screen-detected clinical stage I lung cancer in the Yorkshire lung screening trial: A comparison of surgery versus stereotactic ablative radiotherapy

Cancer-specific survival was similar between the two groups, but overall survival following SABR for screen-detected stage I lung cancer is worse than surgery due to higher rates of non-cancer death within 5 years of treatment. Lung cancer sojourn time has been estimated at around 5 years, so it is likely that rates of overdiagnosis are higher in patients treated with SABR compared to surgery. Further research may be needed to optimise inclusion and exclusion criteria for lung cancer screening.

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Publication Details

Journal
Lung Cancer
Published
2025-11-03
DOI
https://doi.org/10.1016/j.lungcan.2025.108816
Primary Topic
Lung Cancer Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Clinical characteristics and outcomes in participants with screen-detected clinical stage I lung cancer in the Yorkshire lung screening trial: A comparison of surgery versus stereotactic ablative radiotherapy

K. Franks, Rhian Gabe, Daniel Vulkan, Hannah Bailey et al.
Lung Cancer
Lung Cancer Diagnosis and Treatment
article

Clinical characteristics and outcomes in participants with screen-detected clinical stage I lung cancer in the Yorkshire lung screening trial: A comparison of surgery versus stereotactic ablative radiotherapy

K. Franks, Rhian Gabe, Daniel Vulkan, Hannah Bailey, Matthew Callister, H. Tam, Philip Crosbie, Alessandro Brunelli, Martyn Kennedy
article en

Abstract

Cancer-specific survival was similar between the two groups, but overall survival following SABR for screen-detected stage I lung cancer is worse than surgery due to higher rates of non-cancer death within 5 years of treatment. Lung cancer sojourn time has been estimated at around 5 years, so it is likely that rates of overdiagnosis are higher in patients treated with SABR compared to surgery. Further research may be needed to optimise inclusion and exclusion criteria for lung cancer screening.

Lung CancerVol. 210
Queen Mary University of London (GB), Leeds Teaching Hospitals NHS Trust (GB), University of Manchester (GB)
Openalex Percentile: Top 54%
Lung Cancer Diagnosis and Treatment
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