{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:24:53Z","timestamp":1787671493000,"version":"build-2736575974"},"reference-count":18,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","award":["K925369080"],"award-info":[{"award-number":["K925369080"]}],"id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,27]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Lung cancer is the leading cause of cancer-related death worldwide, with substantial variations in incidence, stage at diagnosis and outcomes across regions. High-quality, standardised diagnosis and treatment are essential to improving survival and quality of life. Multidisciplinary care (MDC) is a cornerstone of cancer care; however, its implementation faces barriers such as limited resources, uneven policy support and inequitable access to specialised care, particularly in low- and middle-income countries. To date, no global scoping review has systematically mapped lung cancer MDC\u2014covering implementation models, facilitators, barriers, policy frameworks, technology integration and evidence gaps. This review seeks to fill that gap and inform the optimisation of MDC models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>The Joanna Briggs Institute methodological framework, underpinned by the framework of Arksey and O\u2019Malley and enhanced by Levac and colleagues, will be used for this scoping review. Results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR). We will perform a comprehensive search of six electronic databases (PubMed, CINAHL, Scopus, CNKI, VIP and WanFang) and grey literature sources (ClinicalTrials.gov). In addition, we will screen the reference lists of included studies for further relevant publications. Two review authors will independently conduct the screening and data extraction processes; discrepancies will be resolved through consensus or discussion with a third review author. Findings will be presented graphically and tabularly, together with a narrative description.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>We will collect all data from published and grey literature, meaning ethical approval is not necessary. To disseminate our findings, we plan to use diverse means, such as publishing in peer-reviewed journals and presenting at academic conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/MVSPH\">https:\/\/doi.org\/10.17605\/OSF.IO\/MVSPH<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-115930","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:46:37Z","timestamp":1787669197000},"page":"e115930","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Lung cancer multidisciplinary care status and evidence-practice gap: a scoping review protocol"],"prefix":"10.1136","volume":"16","author":[{"given":"Yunfeng","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Oncology, Tianchang People\u2019s Hospital, Chuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaofei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Linquan County People\u2019s Hospital, Fuyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renjian","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Yingshang County People\u2019s Hospital, Fuyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuliu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Dingyuan County General Hospital, Chuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronggui","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Mingguang People\u2019s Hospital, Chuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junping","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Linquan County People\u2019s Hospital, Fuyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinhao","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Oncology, Guoyang County People\u2019s Hospital, Bozhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maomao","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Oncology, Yingshang County People\u2019s Hospital, Fuyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Lu","sequence":"additional","affiliation":[{"name":"Pfizer Investment Co. Ltd, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Hu","sequence":"additional","affiliation":[{"name":"Pfizer Investment Co. Ltd, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changhe","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Pfizer Investment Co. Ltd, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Roman","family":"Xu","sequence":"additional","affiliation":[{"name":"Acacia Lab for Implementation Science, School of Health Management and Dermatology Hospital, Southern Medical University, Guangzhou, China"},{"name":"Southern Medical University Institute for Global Health (SIGHT), Dermatology Hospital of Southern Medical University (SMU), Guangzhou, China"},{"name":"Center for World Health Organization Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kongqi","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Taihe County People\u2019s Hospital, Fuyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1743-6025","authenticated-orcid":false,"given":"Run","family":"Wang","sequence":"additional","affiliation":[{"name":"Acacia Lab for Implementation Science, School of Health Management and Dermatology Hospital, Southern Medical University, Guangzhou, China"},{"name":"Southern Medical University Institute for Global Health (SIGHT), Dermatology Hospital of Southern Medical University (SMU), Guangzhou, China"},{"name":"Center for World Health Organization Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"2026082507351166000_16.8.e115930.1","unstructured":"Cancer LFIAfRo . World cancer report: cancer research for cancer prevention. In: Wild CP , Weiderpass E , Stewart BW , eds. World Cancer Report: Cancer research for cancer prevention. Lyon (FR): International Agency for Research on Cancer,"},{"key":"2026082507351166000_16.8.e115930.2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2026082507351166000_16.8.e115930.3","doi-asserted-by":"crossref","first-page":"e555","DOI":"10.1016\/S2214-109X(18)30127-X","article-title":"Changing cancer survival in China during 2003-15: a pooled analysis of 17 population-based cancer registries","volume":"6","author":"Zeng","year":"2018","journal-title":"Lancet Glob Health"},{"key":"2026082507351166000_16.8.e115930.4","first-page":"487","article-title":"Lung Cancer: Diagnosis, Treatment Principles, and Screening","volume":"105","author":"Kim","year":"2022","journal-title":"Am Fam Physician"},{"key":"2026082507351166000_16.8.e115930.5","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.21037\/tlcr.2019.11.32","article-title":"Implementation of lung cancer multidisciplinary teams: a review of evidence-practice gaps","volume":"9","author":"Rankin","year":"2020","journal-title":"Transl Lung Cancer Res"},{"key":"2026082507351166000_16.8.e115930.6","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S117945"},{"key":"2026082507351166000_16.8.e115930.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2013.11.012"},{"key":"2026082507351166000_16.8.e115930.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2015.11.007"},{"key":"2026082507351166000_16.8.e115930.9","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1111\/resp.12459","article-title":"Multidisciplinary lung cancer meetings: improving the practice of radiation oncology and facing future challenges","volume":"20","author":"Campbell","year":"2015","journal-title":"Respirology"},{"key":"2026082507351166000_16.8.e115930.10","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.cllc.2018.01.006","article-title":"Survival Outcomes Among Lung Cancer Patients Treated Using a Multidisciplinary Team Approach","volume":"19","author":"Bilfinger","year":"2018","journal-title":"Clin Lung Cancer"},{"key":"2026082507351166000_16.8.e115930.11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0126547","article-title":"Effects of multidisciplinary team care on the survival of patients with different stages of non-small cell lung cancer: a national cohort study","volume":"10","author":"Pan","year":"2015","journal-title":"PLoS One"},{"key":"2026082507351166000_16.8.e115930.12","doi-asserted-by":"crossref","first-page":"S311","DOI":"10.21037\/jtd.2019.01.14","article-title":"The multidisciplinary lung cancer team meeting: increasing evidence that it should be considered a medical intervention in its own right","volume":"11","author":"Dickhoff","year":"2019","journal-title":"J Thorac Dis"},{"key":"2026082507351166000_16.8.e115930.13","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"2026082507351166000_16.8.e115930.14","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-21-00242"},{"key":"2026082507351166000_16.8.e115930.15","doi-asserted-by":"publisher","DOI":"10.3163\/1536-5050.104.3.014"},{"key":"2026082507351166000_16.8.e115930.16","unstructured":"Covidence . Covidence systematic review software. Melbourne, Australia: Veritas Health Innovation,"},{"key":"2026082507351166000_16.8.e115930.17","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"2026082507351166000_16.8.e115930.18","unstructured":"Aromataris EM . JBI manual for evidence synthesis. 2020."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-115930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:46:39Z","timestamp":1787669199000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-115930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":18,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,25]]},"published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1136\/bmjopen-2025-115930"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-115930","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]}}}