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Reducing waiting times in lung cancer
P C Deegan1, L Heath, J Brunskill
1Department of Respiratory Medicine, University Hospital, Nottingham.
Journal of the Royal College of Physicians of London
|October 8, 1998
Summary
National lung cancer waiting time recommendations are achievable with a multidisciplinary team (MDT) approach. While service factors cause early delays, patient factors also contribute to prolonged diagnostic timelines.
Area of Science:
- Oncology
- Healthcare Management
- Public Health
Background:
- Delays in lung cancer patient management are a significant concern.
- National reports recommend maximum waiting times and a multidisciplinary team (MDT) approach.
Purpose of the Study:
- To assess the achievability of national waiting time recommendations after implementing an MDT approach.
- To identify key factors contributing to delays in lung cancer patient care.
Main Methods:
- A prospective survey was conducted over five months.
- Tracked waiting times for all new suspected lung cancer referrals from initial contact to definitive treatment.
Main Results:
- Outpatients were seen within one week (67%) or two weeks (89%) of referral; inpatients were seen within two working days.
- Diagnostic test results were available within two weeks for 86% of patients.
- All patients received definitive treatment within recommended timeframes post-diagnosis.
Conclusions:
- National waiting time recommendations for lung cancer care are largely achievable.
- The multidisciplinary team (MDT) approach likely plays a crucial role in meeting these targets.
- Service and patient-related factors influence diagnostic delays.