How long is too long? A scoping review of health system delays in lung cancer

European Respiratory Review : an Official Journal of the European Respiratory Society
Ashanya MalalasekeraJanette L Vardy

Abstract

Earlier access to lung cancer specialist (LCS) care improves survival, highlighting the need for streamlined patient referral. International guidelines recommend 14-day maximum time intervals from general practitioner (GP) referral to first LCS appointment ("GP-LCS interval"), and diagnosis to treatment ("treatment interval"). We compared time intervals in lung cancer care against timeframe benchmarks, and explored barriers and facilitators to timely care.We conducted a scoping review of literature from MEDLINE, Embase, Scopus and hand searches. Primary end-points were GP-LCS and treatment intervals. Performance against guidelines and factors responsible for delays were explored. We used descriptive statistics and nonparametric Wilcoxon rank sum tests to compare intervals in studies reporting fast-track interventions.Of 1343 identified studies, 128 full-text articles were eligible. Only 33 (26%) studies reported GP-LCS intervals, with an overall median of 7 days and distributions largely meeting guidelines. Overall, 52 (41%) studies reported treatment intervals, with a median of 27 days, and distributions of times falling short of guidelines. There was no effect of fast-track interventions on reducing time intervals. Lack of sy...Continue Reading

References

Aug 1, 1990·Journal of Community Health·V MorM S Wool
Feb 20, 1989·The Medical Journal of Australia·G McLennan, D M Roder
Aug 26, 1998·Thorax·C LarocheD Gilligan
Jul 10, 2002·Acta Oncologica·Anni R JensenJens Overgaard
Jul 26, 2002·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·E Frances Bowen, Charlotte F J Rayner
Jan 16, 2003·Chest·W Michael AlbertsUNKNOWN American College of Chest Physicians
Mar 28, 2003·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Kosuke KashiwabaraMasakazu Toyonaga
Oct 12, 2004·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Katsuyuki HottaMitsune Tanimoto
Oct 21, 2005·Chest·Eija-Riitta SalomaaKari Liippo
Mar 4, 2006·Clinical Lung Cancer·Mark Thomas DransfieldRobert I Garver
Apr 6, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Richard F RiedelMichael J Kelley
Nov 3, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Dorothy S LoJacinta Meharchand
Aug 1, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mohan P DevbhandariMark T Jones
Aug 2, 2008·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Nathalie Saint-JacquesTallal Younis
Jan 10, 2009·Journal of General Internal Medicine·Usha SubramanianDavid G Marrero
Dec 4, 2009·British Journal of Cancer·F OlesenP Vedsted
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
Sep 22, 2010·Implementation Science : IS·Danielle LevacKelly K O'Brien
Sep 29, 2011·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Pepijn BrockenHenricus F M van der Heijden
Sep 29, 2011·The Clinical Respiratory Journal·Ulf AasebøMerete Postmyr
Nov 8, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Paul BaughanBill O'Neill
Dec 6, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Gemma MansellKelvin Jordan
Feb 3, 2012·Clinical Journal of Oncology Nursing·Laura S HunnibellDonna C Vogel
Mar 5, 2013·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Marie Louise TørringPeter Vedsted
Apr 13, 2013·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·V Leiro-FernándezA Fernández-Villar
Jul 6, 2013·Clinical Lung Cancer·Susan AlsamaraiMichal G Rose
Jan 25, 2014·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Erik JakobsenTorben Palshof
Aug 31, 2014·International Journal of Epidemiology·Anthony E AdesWilliam Hamilton
Oct 14, 2014·The Clinical Respiratory Journal·Florent VinasChristos Chouaid

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Citations

Mar 15, 2019·Asia-Pacific Journal of Clinical Oncology·Phillip ParenteEmily Stone
Apr 16, 2019·Annals of Internal Medicine·Ryan A CrowleyUNKNOWN Health and Public Policy Committee of the American College of Physicians
May 28, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Gonzalo RecondoEzequiel García-Elorrio
Oct 31, 2019·Family Practice·Victoria WhiteDavid Weller
May 28, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Aziza Maklouf-QuirósMarianne Chacón-Araya
Oct 13, 2020·International Journal of Cancer. Journal International Du Cancer·Win WahArul Earnest
Nov 24, 2020·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Thierry BerghmansPhilip Poortmans
Apr 4, 2021·International Journal of Environmental Research and Public Health·Kyu-Tae HanSeungju Kim
Apr 3, 2021·Clinical Medicine Insights. Oncology·Paulien C HoefsmitH Reinier Zandbergen
Nov 13, 2021·Cancer Medicine·David J StewartMartin Neil Reaume
Dec 23, 2021·Journal of Bronchology & Interventional Pulmonology·John P CorcoranCyrus J Daneshvar

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