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Modelling lung cancer diagnostic pathways using discrete event simulation.

Tracey England1, Paul Harper1, Tom Crosby2

  • 1School of Mathematics, Cardiff University, Cardiff, UK.

Journal of Simulation : JOS
|February 10, 2023
PubMed
Summary
This summary is machine-generated.

Improving the lung cancer pathway in Wales could significantly reduce treatment times. Streamlining diagnostic tests and ensuring early appointments can cut approximately 11 days, increasing timely treatment by 21%.

Keywords:
Diagnostic pathwaycancerdiscrete event simulationperformance indicators

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Area of Science:

  • Oncology
  • Health Services Research
  • Health Informatics

Background:

  • The United Kingdom exhibits notably poor lung cancer survival rates within Europe.
  • Existing diagnostic pathways for lung cancer in Wales require evaluation and optimization.

Purpose of the Study:

  • To design and assess a Single Lung Cancer Pathway (SCP) for Wales.
  • To identify bottlenecks and propose improvements in the lung cancer diagnostic process.

Main Methods:

  • Mapping of current diagnostic pathways and processes.
  • Discrete event simulation modeling of existing pathways.
  • Analysis of key performance indicators and diagnostic testing strategies.

Main Results:

  • Current mean time to treatment: 72 days (surgery), 56 days (chemotherapy), 61 days (radiotherapy).
  • Potential to reduce the lung cancer pathway by approximately 11 days.
  • Achieving a 21% increase in patients treated within the 62-day target.

Conclusions:

  • Implementing an optimized Single Lung Cancer Pathway can significantly improve treatment timeliness.
  • Ensuring first outpatient appointments within 7 days and streamlining diagnostics are critical interventions.
  • These improvements are projected to enhance lung cancer patient outcomes in Wales.