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J. Pan
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P1.06 - Epidemiology/Primary Prevention/Tobacco Control and Cessation (ID 692)
- Event: WCLC 2017
- Type: Poster Session with Presenters Present
- Track: Epidemiology/Primary Prevention/Tobacco Control and Cessation
- Presentations: 1
- Moderators:
- Coordinates: 10/16/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)
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P1.06-016 - Route to Lung Cancer Diagnosis in the UK: How Does This Affect Patient Outcome? (ID 9908)
09:30 - 09:30 | Author(s): J. Pan
- Abstract
Background:
The commonest route to lung cancer diagnosis in the United Kingdom (UK) is via emergency presentations (EP), with 35% of lung cancer diagnoses being made via this route. We aim to study the outcome of patients diagnosed with lung cancer via all routes of presentation and its contributing factors in a UK district general hospital.
Method:
Data was collected retrospectively from a non-teaching hospital over the period of January to June 2015. Only patients with a confirmed diagnosis (clinical or histological) of lung cancer were included. The following categories were analysed: -Demographics -Histological subtype of lung carcinoma -Performance Status -Stage of disease at presentation -Proportion offered treatment -Survival data (overall and at 1-year)
Result:
94 patients were identified over this period. 35% (n = 33) presented via the EP route, while 51% (n=48) presented via the elective (2 week wait) route. The remaining 14% (n = 13) presented via other routes. Figure 1 A higher proportion of patients presenting via the EP route have more extensive disease and a poorer performance status. A significantly lower proportion of patients in the EP subgroup were offered treatment. A substantial difference in overall survival between the EP and elective subgroups was also noted.
Conclusion:
Patients diagnosed via the EP route have a poorer performance status at presentation and are less likely to receive treatment or be alive at 1-year. Non-small cell lung carcinomas form the majority subtype of lung carcinoma in all routes of presentation. The demographics between the three subgroups are comparable, with a significant proportion of patients from the most deprived areas in the UK. This study suggests earlier diagnosis of lung cancer is crucial to improve outcomes. Due to strong associations between smoking and social deprivation with lung cancer, this study supports a risk-based screening programme utilising low-dose computerised tomography (LDCT).
