Timeliness of lung cancer care in Victoria: a retrospective cohort study

The Medical Journal of Australia
Sue M EvansRob Stirling

Abstract

To assess factors associated with second-line delays in the management of patients diagnosed with lung cancer. A retrospective cohort study, conducted in six public and two private Victorian hospitals, of 1417 patients aged 18 years or more who were diagnosed between July 2011 and October 2014 with an incident case of lung cancer identified by International Classification of Diseases, 10th revision codes (C34.0-C34.9, Z85.1, Z85.2) on the basis of either a clinical or pathological diagnosis. Time intervals between referral, diagnosis and initial definitive management. The median time from referral to diagnosis was 15 days (interquartile range [IQR], 5-36); from diagnosis to initial definitive management, 30 days (IQR, 6-84); and from referral to initial definitive management, 53 days (IQR, 25-106). Factors that were significantly associated with delay between referral and initial definitive management include declining or not being referred to palliative care (hazard ratio [HR], v patients referred for palliation, 0.73; 95% CI, 0.62-0.86; P < 0.001), and being treated in a public hospital (HR, v patients managed in a private hospital, 0.55; 95% CI, 0.48-0.64; P < 0.001). The median time from referral to initial definitive manag...Continue Reading

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Citations

May 26, 2018·Translational Behavioral Medicine·Tim ShawDavid Currow
Mar 15, 2019·Asia-Pacific Journal of Clinical Oncology·Phillip ParenteEmily Stone
Aug 14, 2019·Internal Medicine Journal·Harshan S Jeyakumar, Alistair Wright
Apr 17, 2020·Asia-Pacific Journal of Clinical Oncology·Ashanya MalalasekeraJanette L Vardy
Oct 31, 2019·Family Practice·Victoria WhiteDavid Weller
Feb 10, 2019·NPJ Primary Care Respiratory Medicine·Stuart PurdieJane M Young
Oct 13, 2020·International Journal of Cancer. Journal International Du Cancer·Win WahArul Earnest
Sep 20, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Win WahArul Earnest
Apr 15, 2019·Bulletin du cancer·Arnaud KnoepfliAngelica Tiotiu
Dec 2, 2017·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Margo M JacobsenPaul K J Han

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