PMID: 16512981Mar 4, 2006Paper

Improving the lung cancer resection rate in the US Department of Veterans Affairs Health System

Clinical Lung Cancer
Mark Thomas DransfieldRobert I Garver

Abstract

The optimal treatment for non-small-cell lung cancer (NSCLC) is surgical resection; however, most patients are ineligible because of advanced disease. Although resection rates of 25% have been reported nationally, rates in the Veterans Affairs (VA) system appear lower, perhaps because of limited access to specialized care. We hypothesized that, since the introduction of a specialized Lung Mass Clinic in 1999, the resection rate at the Birmingham VA Medical Center would be comparable with US benchmarks. We also sought to identify the medical and nonmedical factors that influenced the use of surgery. We reviewed the electronic medical records of all veterans seen in the Lung Mass Clinic from 1999 to 2003 and identified patients with NSCLC. Demographics, comorbidities, diagnostic methods, times to diagnosis/resection, and postoperative survival were recorded. Reasons for non-resection were documented and tabulated, and differences between the resected and nonresected subgroups were examined. One hundred fifty-six patients with NSCLC were identified, and 31 (20%) underwent resection. There were no differences in age, ethnicity, or sex between those undergoing resection and those denied surgery. Patients who underwent resection were...Continue Reading

Citations

Aug 31, 2018·European Respiratory Review : an Official Journal of the European Respiratory Society·Ashanya MalalasekeraJanette L Vardy
Jul 28, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Monika K KrzyzanowskaArlene S Bierman
Feb 18, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Bibhusal Thapa, Prakash Sayami
Apr 17, 2020·Asia-Pacific Journal of Clinical Oncology·Ashanya MalalasekeraJanette L Vardy
Mar 13, 2009·Medical Care Research and Review : MCRR·Bonnie B DeanRobert J Nordyke
Dec 9, 2017·BMC Pulmonary Medicine·Nicole EzerAnne V Gonzalez
Feb 9, 2017·Annals of Surgical Oncology·Katelyn A YoungMatthew A Facktor
Apr 16, 2021·BMC Cancer·Yichen ZhangLizheng Shi
Aug 5, 2021·BMJ Open Quality·Kim-Lin ChiewShalini K Vinod

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