Clinical profile | Information volunteered by ‘patient’ or available onscreen | Information only available if participant GPs asked | Positive predictive value (PPV) of lung cancer (%) | Other relevant information | |||
---|---|---|---|---|---|---|---|
Age range | Smoking status | Symptom 1 | Symptom 2 | Duration | |||
Low risk: Expected action=no active investigation (safety netting appropriate) | |||||||
1 | Younger (late 50s) | Non-smoker | Breathlessness | Fatigue | 1–2 weeks | 0.40 | Patient has swollen ankles, possibly due to heart failure |
2 | Younger (late 50s) | Smoker | Chest pain | Cough | 1–2 weeks | 1.10 | |
Medium risk: Expected action=either investigation (eg, order chest X-ray) or safety netting | |||||||
3 | Older (late 70s) | Smoker | Chest pain | Cough | Uncertain (∼3 weeks) | 1.70 | |
4 | Older (late 70s) | Non-smoker | Cough | Appetite loss | Uncertain (∼3 weeks) | 2.50 | |
High risk: Expected action=lung cancer investigation | |||||||
5 | Younger (late 50s) | Smoker | Breathlessness | Fatigue | >5 weeks | 3–4 | Chronic obstructive pulmonary disease present |
6 | Older (late 70s) | Smoker | Chest pain | Weight loss | >5 weeks | 14 |
GPs, general practitioners.