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This study is a single center, minimal risk, physician initiated retrospective chart review. An analysis of treatment timelines for patients diagnosed with lung cancer within the St. Elizabeth system from January 2013 until study completion. The study investigator and designee(s) will review patient electronic medical records, extracting data related to the symptom presentation, diagnosis, and treatment of new diagnoses of lung cancer. Collected data will focus on dates of encounters, diagnostic imaging/procedures, and treatments, with data analysis evaluating time between care encounters and potential delays in care. The data will be further stratified based on system-wide changes implemented to improve efficiency, patient outcomes, and patient experience.
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| Measure | Description | Time Frame |
|---|---|---|
| Time from presentation to treatment | Time from initial patient presentation with symptoms or incidental finding to first day of treatment, measured in days. | from initial patient presentation with symptoms or incidental finding to first day of treatment, up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Additional time between imaging and physician referrals | From identification of concerning nodule to specialist appointment, up to 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients diagnosed with lung cancer within the St. Elizabeth system from January 2013 until study completion.
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| Name | Affiliation | Role |
|---|---|---|
| Royce Calhoun, MD | St Elizabeth Healthcare | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Elizabeth Healthcare | Edgewood | Kentucky | 41017 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21610526 | Background | Diaconescu R, Lafond C, Whittom R. Treatment delays in non-small cell lung cancer and their prognostic implications. J Thorac Oncol. 2011 Jul;6(7):1254-9. doi: 10.1097/JTO.0b013e318217b623. | |
| 26543688 | Background | Van de Vosse D, Chowdhury R, Boyce A, Halperin R. Wait Times Experienced by Lung Cancer Patients in the BC Southern Interior to Obtain Oncologic Care: Exploration of the Intervals from First Abnormal Imaging to Oncologic Treatment. Cureus. 2015 Sep 22;7(9):e330. doi: 10.7759/cureus.330. |
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| 27143146 | Background | Vidaver RM, Shershneva MB, Hetzel SJ, Holden TR, Campbell TC. Typical Time to Treatment of Patients With Lung Cancer in a Multisite, US-Based Study. J Oncol Pract. 2016 Jun;12(6):e643-53. doi: 10.1200/JOP.2015.009605. Epub 2016 May 3. |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |