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Evaluation of the use of a rapid diagnostic consultation of lung cancer. Delay time of diagnosis and therapy

To analyze the results obtained in a lung cancer screening program since its inception five years ago regarding correct referrals, diagnostic and therapeutic delay times and days of hospitalization. To compare the diagnostic-therapeutic delays and hospital stays with those obtained in patients evalu...

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Published in:Archivos de bronconeumología (English ed.) 2012-08, Vol.48 (8), p.267-273
Main Authors: Hueto Pérez De Heredia, Javier, Cebollero Rivas, Pilar, Cascante Rodrigo, José Antonio, Andrade Vela, Isabel, Pascal Martínez, Idoya, Boldú Mitjans, Joan, Eguía Astibia, Víctor Manuel
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container_title Archivos de bronconeumología (English ed.)
container_volume 48
creator Hueto Pérez De Heredia, Javier
Cebollero Rivas, Pilar
Cascante Rodrigo, José Antonio
Andrade Vela, Isabel
Pascal Martínez, Idoya
Boldú Mitjans, Joan
Eguía Astibia, Víctor Manuel
description To analyze the results obtained in a lung cancer screening program since its inception five years ago regarding correct referrals, diagnostic and therapeutic delay times and days of hospitalization. To compare the diagnostic-therapeutic delays and hospital stays with those obtained in patients evaluated with the standard system. Included for study were all those patients evaluated in our Lung Cancer Screening Program (LCSP) in the last five years. For the cases with LC, we recorded the dates the patients were referred to a specialist, the first consultation, diagnostic tests, stage, start of treatment and days of hospitalization. We compared these same data with lung cancer patients who did not partake in the LCSP and were diagnosed between October 2008 and October 2010. We evaluated 179 patients remitted to the LCSP, which represented 26.7% of the consultations; 166 (92.7%) of the referrals were correct, out of which 44.5% were LC. In 75.6% of these, the entire study was completed in the outpatient setting, and more than 85% of the cases met the current recommendations related with diagnostic-therapeutic delays. When these results were compared with the non-LCSP group (n=151), differences were found in the data for hospitalizations: there was a lower percentage of hospitalizations (P
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When these results were compared with the non-LCSP group (n=151), differences were found in the data for hospitalizations: there was a lower percentage of hospitalizations (P&lt;.0001) and shorter hospital stays (P&lt;.0001) in the LCSP group. There were no differences between the two groups for diagnostic or therapeutic delays. In our setting, lung cancer screening programs allow for cancer studies to be carried out in the outpatient consultations in a large percentage of cases, and within the time periods recommended by current guidelines. 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subjects Aged
Ambulatory Care - statistics & numerical data
Delayed Diagnosis
Diagnostic Techniques, Respiratory System - utilization
Female
Hospitalization - statistics & numerical data
Humans
Length of Stay - statistics & numerical data
Lung Diseases - diagnosis
Lung Neoplasms - diagnosis
Lung Neoplasms - pathology
Lung Neoplasms - therapy
Male
Mass Screening - methods
Mass Screening - statistics & numerical data
Mass Screening - utilization
Middle Aged
Neoplasm Staging
Referral and Consultation
Retrospective Studies
Socioeconomic Factors
Spain - epidemiology
Time Factors
title Evaluation of the use of a rapid diagnostic consultation of lung cancer. Delay time of diagnosis and therapy
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