Author of

• 15209

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  P3.01 - Poster Session/ Treatment of Advanced Diseases – NSCLC (ID 208)

  • Event: WCLC 2015
  • Type: Poster
  • Track: Treatment of Advanced Diseases - NSCLC
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)

  • 15238

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    P3.01-029 - Factors Impacting Delay in Timely Care for Patients Diagnosed with Lung Cancer in Victoria (ID 511)

    09:30 - 09:30  |  Author(s): A. Earnest
    • Abstract

    Background:
    Delay in patient management timelines in lung cancer may exceed recommended timeframes, potentially adversely impacting quality of life, curative resection rates, disease progression and survival. The aim of this study was to evaluate the contribution of health service variables to delay between referral (T0), diagnosis (T1) and treatment (T2) for lung cancer patients.
    
    Methods:
    Demographic, clinical and health service data from the Victorian Lung Cancer Registry (VLCR) was analysed to identify variables predictive of extended critical time intervals. Explanatory variables were included in multivariate models. Sub-group analysis of the magnitude of delay of each interval was also performed.
    
    Results:
    Among 1417 subjects, median T0-T1 interval was 15 days (IQR 5-38), T1-T2 was 12 days (IQR 0-34) and diagnosis to palliative care 19 days (IQR 5-48). Significant T0-T1 delay was associated with country of birth, whether English is the first language, treatment first received and health status at diagnosis (ECOG score). Significant T1-T2 delay was associated with country of birth, the type of hospital where treatment was provided, presence of major comorbidities and initial treatment type. Factors associated with T2-T3 delay included age at diagnosis, the type of hospital where treatment was provided, health status at diagnosis and initial treatment type. Multivariate analysis demonstrated that type of hospital, stage of disease at diagnosis, ethnicity and type of initial treatment were all associated with significant delay at various stages of the patient journey to initial treatment (T0, T1 and T2).
    
    Conclusion:
    Understanding factors associated with delay in patients with lung cancer receiving effective management is crucial to developing interventions to address gaps. This research has identified priority areas for action in Victoria