Lay summary
Lung cancer is the second leading cause of death for non-Māori and for Māori men. It is the leading cause of death for Māori women. Lung cancer screening using a low dose CT scan reduces lung cancer deaths by 20-26%. The proposed programme will add to an existing research programme (Te Oranga Pūkahukahu) that has the goal of designing a lung cancer screening programme that is equitable, effective, and acceptable, especially for Māori who experience significant inequities in lung cancer mortality. The proposed projects will provide new information about improving lung cancer risk prediction using a biomarker, second rounds of CT scans, the role that Māori providers can play in lung cancer screening, and the use of artificial intelligence (AI) in lung cancer screening. The information obtained from the programme will be used to design and implement a national lung cancer screening programme.