Mapping lung cancer diagnostic pathways: a qualitative study of interviews with lung cancer patients...
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Transcript of Mapping lung cancer diagnostic pathways: a qualitative study of interviews with lung cancer patients...
“Mapping lung cancer diagnostic pathways: a qualitative study of interviews with lung cancer patients and their caregivers” Ms Sarah York, Dr Nicole Rankin, Ms Michelle Lai, Prof Phyllis Butow, Prof David Barnes, Dr Rob Zielinski, Dr Emily Stone, Prof Tim Shaw
Sydney Catalyst Translational Cancer Research Centre,University of Sydney
Adapted from Canadian Institutes of Health Research
Knowledge to Action (KTA)
Evidence to practice gaps
Priority setting Process mapping
Pathways to diagnosisTimely diagnosis and referral for treatment
Lung Cancer Pathways - Literature
• 3 main routes to lung cancer diagnosis: primary care, emergency department or incidental finding
• UK study: 61% via primary care, 23% via ED and 11% incidental findings (Barrett & Hamilton, 2008)
• Australian audit: 68% GP, 12% ED (Largey et al, 2013) - Small sample size (n=25)
• Despite complexity, very little Australian data documents patient pathways in lung cancer.
Adapted from Canadian Institutes of Health Research
Knowledge to Action (KTA)
Evidence to practice gaps
Priority setting Process mapping
Pathways to diagnosis
Medical record audit
GP & ED physician interviews
Patient & carer interviews
Pathways to diagnosis preliminary results
Consumer interviews - demographics N = 18Age, mean (range) 63 (39-82 years)Females, n (%) 10 (56%) Males , n (%) 8 (44%)Area of residence
Urban (metro Sydney) 11 (61%)Regional town 7 (39%)
Smoking status, n (%): Non-smoker 6 (33%)Smoker (at time of diagnosis) 3 (17%)Ex-smoker 5 (28%)Did not reveal 4 (22%)
DRAFT
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DRAFT
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Adapted from Canadian Institutes of Health Research
Knowledge to Action (KTA)
Pilot implementation project
Evidence into Practice (T2/T3) Working Group Tim Shaw (Chair)Nicole RankinJane YoungPhyllis ButowKate WhiteLyndal TrevenaDeb McGregor
Collaborating sites
Philip BealeSallie PearsonJane PhillipsJohn SimesPuma SundaresanSarah York
Western NSW LHD: Ruth Jones, Rob Zielinski & teamSt Vincent’s Hospital/Kinghorn: Emily Stone, Alan Spigelman & teamRoyal Prince Alfred Hospital/Lifehouse: David Barnes, Philip Beale & team