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Overview of Domain 5
Domain 5 focuses specifically on the protocol for screening, supporting those responsible for implementing the programme in considering how to achieve consistency. This is particularly important where more than one screening centre is involved. In addition, this domain looks at how to integrate a screening programme into other aspects of care, how to monitor the safety of screening for participants, and how to introduce other interventions, such as smoking cessation, to the screening pathway.
Assessment framework key questions
In this domain, metrics are designed to assess:
Screening protocols
- what protocols and parameters will be used when establishing the technical requirements for the delivery of LDCT screening
- how to manage other conditions detected incidentally during LDCT screening for lung cancer, including the referral process
Quality assurance and safety
The quality control of LDCT screening, including processes for:
- assuring that screening meets all regulatory and safety requirements
- determining whether specific accreditation or experience is required for those involved in delivering the programme
Integration with smoking cessation
- how smoking cessation might be integrated into the screening pathway, who would be eligible, and which healthcare professionals would be involved in delivering the interventions
Corresponding policy brief
When planning for the implementation of a lung cancer screening programme, it is essential to develop a clear protocol. To help those planning to implement screening programmes, we have published a policy brief focused on the importance of developing a clear protocol for LDCT screening.
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Further reading
- Latest CT technologies in lung cancer screening: protocols and radiation dose reduction (Vonder et al. 2021)
- Management of pulmonary nodules (McNulty & Baldwin 2019)
- Establishing scanning protocols for a CT lung cancer screening trial in the UK (Iball et al. 2022)
- I-ELCAP protocol: Screening (International Early Lung Cancer Action Program, 2023)
- Rapid referral pathways: reducing delays in the diagnosis of lung cancer (All.Can)
- Lung cancer screening with low-dose CT in smokers: A systematic review and meta-analysis (Hunger et al. 2021)
- Radiology quality assurance program manual: Ontario Lung Screening Program (Cancer Care Ontario, 2021)
'We need to share knowledge and support each other in building on the lessons learned in our implementation of lung cancer screening, to ensure that it is consistently high-quality across different facilities.'
Dr Joelle Fathi, GO2 Foundation for Lung Cancer
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