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RESEARCH ARTICLE (Open Access)

Estimates of the eligible population for Australia’s targeted National Lung Cancer Screening Program, 2025–2030

Stephen Wade A , Preston Ngo A , Yue He A , Michael Caruana A , Julia Steinberg A , Qingwei Luo A , Michael David A B , Annette McWilliams C , Kwun M Fong D E , Karen Canfell F and Marianne F Weber A *
+ Author Affiliations
- Author Affiliations

A The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Woolloomooloo, NSW, Australia.

B School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, Australia.

C Fiona Stanley Hospital, Perth, WA, Australia.

D Prince Charles Hospital, Chermside, QLD, Australia.

E The University of Queensland Thoracic Research Centre, The Prince Charles Hospital, Brisbane, QLD, Australia.

F School of Public Health, The University of Sydney, Sydney,NSW,Australia.

* Correspondence to: marianne.weber@sydney.edu.au

Public Health Research and Practice 35, e34342410 https://doi.org/10.17061/phrp34342410
Submitted: 8 July 2024  Accepted: 2 November 2024  Published: 18 December 2024

2025 Wade et al. This article is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Licence, which allows others to redistribute, adapt and share this work non-commercially provided they attribute the work and any adapted version of it is distributed under the same Creative Commons licence terms. See: www.creativecommons.org/licenses/by-nc-sa/4.0/

Abstract

Australia’s National Lung Cancer Screening Program will commence in July 2025, targeted at individuals aged 50–70 years with a 30 pack-year smoking history (equivalent to 20 cigarettes per day for 30 years), who either currently smoke or have quit within the past 10 years. We forecasted the number of screening-eligible individuals over the first 5 years of the program using data from the 2019 National Drug Strategy Household Survey and the 2022 Australian Bureau of Statistics population projections. Multiple imputation integrated with predictive modelling of future or unmeasured smoking characteristics was used to address missing data and, simultaneously, to project individuals’ smoking histories to 2030. In 2025, 930 500 (95% prediction interval 852 200–1 019 000) individuals were estimated to be eligible, with the number meeting the criteria declining slightly during the years 2025–2030 in all Australian jurisdictions. Overall, 26–30% of those eligible will have quit smoking, and 70–74% will currently smoke. These estimates can be used in resource planning and as an indicative denominator to track participation rates for the program over time.

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