Effects of nurse-led shared decision-making on low-dose CT uptake and screening outcomes in high-risk populations: a systematic review and meta-analysis
Nurses can guide lung cancer screening conversations as effectively as standard care, expanding access in underserved communities.
A systematic review of 13 studies (n=13,608) found that nurse-led shared decision-making achieves equivalent LDCT uptake to standard care, confirming feasibility as an alternative delivery model for lung cancer screening. Female sex was positively associated and current smoking negatively associated with uptake, suggesting potential for targeted SDM program design.
What the study was
- Study design
- Systematic review and meta-analysis
- Population
- High-risk lung cancer screening populations (LDCT eligible)
- Sample size
- 13608
- Category
- Early Detection
- Maturity
- Validated
- Journal
- BMJ Open
Why it surfaced
Meta-analysis n=13,608; nurse-led SDM non-inferior for LDCT uptake; relevant for health system implementation of lung cancer screening programs.
A plain-language summary of published research — not medical advice. Talk to a clinician about your own care.