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Vienna 2009
Wednesday, 16.09.2009
Epidemiology and management of lung cancer
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Fast track lung cancer service in a tertiary care centre
R. A. Mustafa, R. Mogal, P. K. Plant, M. E. J. Callister (Leeds, United Kingdom)
Source:
Annual Congress 2009 - Epidemiology and management of lung cancer
Session:
Epidemiology and management of lung cancer
Session type:
E-Communication Session
Number:
4683
Disease area:
Thoracic oncology
Abstract
Background:
Leeds is the largest Lung Cancer centre in the UK
1
.
Aim:
To audit our practice against the UK Department of Health (DoH) standards & Local guidelines.
Methods:
Prospective audit of patients referred to the Fast track Lung cancer clinic from 03.09.08 to 29.10.08.
Results:
160 patients attended the clinic. 38% (n=60) were diagnosed with Lung cancer out of which 47% (n=28) received best supportive care (BSC), 13% (n=8) had radical surgery & 40% (n=24) had chemo &/radiotherapy. 6% (n=9) had cancers of other sites. 49% (n=78) had a benign diagnosis & 8% (n=12) were enrolled for radiological monitoring. 6.6 % (n=4) breached the 62-day referral to treatment cut off, 75% (n=3) of these required surgical staging.
Summary of Results
Median & Range (Days)
DoH Target
Unit Target
Target achieved (%)
Referral to first out-patient appointment (OPA)
7 (1-15)
14 days
14 days
98
CT prior to Bronchoscopy
NA
100%
100%
100
Bronchoscopy to Histology
6 (2-17)
7 days
7 days
75
PET prior to referral for Radical Treatment
NA
100%
100%
100
Referral to completion of diagnostics (Triage)
15 (2-50)
NA
31 days
96
Triage to OPA
Oncology OPA: 5 (1-22), Surgical OPA: 15.5 (2-22)
NA
7 days
Oncology: 68, Surgery: 33
Thoracic Surgery or Oncology OPA to 1st definitive treatment
Chemo &/Radiotherapy: 6 (1-19), Surgery: 16 (6-36)
31 days
31 days
97
Initial referral to 1st definitive treatment
Chemo &/Radiotherapy: 36 (16-70) ,Surgery: 53 (34-81), BSC: 18.5 (7-46)
62 days
62 days
93
Conclusion:
The audit confirms a fast & equitable diagnositic pathway for all high risk patients. Patients requiring surgical staging are more likely to breach the 62 day target.
Reference:
1) LUCADA 2008.
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Citations should be made in the following way:
R. A. Mustafa, R. Mogal, P. K. Plant, M. E. J. Callister (Leeds, United Kingdom). Fast track lung cancer service in a tertiary care centre. Eur Respir J 2009; 34: Suppl. 53, 4683
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Member's Comments
HOWES Timothy - 14.09.2009 12:41
Fast Track lung Cancer Service in a tertiary care centre
Very helpful audit. I notice that there were 60 (ish) cancers and 78 in the "benign" group. Do you feel that this ratio is about right" or that to pick up all cancers with a service like this one would expect a higher number in the "benign" category? Did any of the "benign" prove to be malignant at a later date? Thank you.
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