Lung cancer stage-shift following a symptom awareness campaign
| Autor: | Richard Milton, Martyn P.T. Kennedy, Francesca Hewitt, Victoria Ashford-Turner, K. Rodger, E Paramasivam, Ruth H Jack, Veronica Lovatt, P Malhotra, Alison Gill, Henrik Møller, Paul K. Plant, Bobby Bhartia, Louise Cresswell, Matthew E.J. Callister, J. Robson, L. Cheyne, Victoria H. Coupland, Michael Darby, Margreet Lüchtenborg, Annette Johnstone, Catherine Foster, Shishir Karthik |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Health Knowledge Attitudes Practice Pediatrics medicine.medical_specialty Lung Neoplasms Referral General Practice Population control Diagnostic Self Evaluation 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Stage (cooking) Lung cancer Health Education Early Detection of Cancer Aged Neoplasm Staging Aged 80 and over Primary Health Care business.industry Cancer Middle Aged medicine.disease United Kingdom Editorial Abdominal Neoplasms 030220 oncology & carcinogenesis Female Radiography Thoracic Causal link Symptom Assessment business Developed country |
| Zdroj: | Thorax. 73:1128-1136 |
| ISSN: | 1468-3296 0040-6376 |
| DOI: | 10.1136/thoraxjnl-2018-211842 |
| Popis: | BackgroundLung cancer outcomes in the UK are worse than in many other developed nations. Symptom awareness campaigns aim to diagnose patients at an earlier stage to improve cancer outcomes.MethodsAn early diagnosis campaign for lung cancer commenced in Leeds, UK in 2011 comprising public and primary-care facing components. Rates of community referral for chest X-ray and lung cancer stage (TNM seventh edition) at presentation were collected from 2008 to 2015. Linear trends were assessed by χ2 test for trend in proportions. Headline figures are presented for the 3 years pre-campaign (2008–2010) and the three most recent years for which data are available during the campaign (2013–2015).FindingsCommunity-ordered chest X-ray rates per year increased from 18 909 in 2008–2010 to 34 194 in 2013–2015 (80.8% increase). A significant stage shift towards earlier stage lung cancer was seen (χ2(1)=32.2, pInterpretationThis is the largest described lung cancer stage-shift in association with a symptom awareness campaign. A causal link between the campaign and stage-shift cannot be proven but appears plausible. Limitations of the analysis include a lack of contemporary control population. |
| Databáze: | OpenAIRE |
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