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Current Oncology
Volume 24
Issue 5
10.3747/co.24.3611
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Lung Cancer Care Trajectory at a Canadian Centre: An Evaluation of How Wait Times Affect Clinical Outcomes

by
G. Kasymjanova
1,*,
D. Small
1,
V. Cohen
1,
R. T. Jagoe
1,
G. Batist
1,
W. Sateren
2,
P. Ernst
1,
C. Pepe
1,
L. Sakr
1 and
J. Agulnik
1
1
Peter Brojde Lung Cancer Centre, Segal Cancer Centre, Sir Mortimer B. Davis Jewish General Hospital, Rossy Cancer Network, and McGill University, Montreal, QC, Canada
2
Rossy Cancer Network, McGill University, Montreal, QC, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2017, 24(5), 302-309; https://doi.org/10.3747/co.24.3611
Submission received: 3 July 2017 / Revised: 7 August 2017 / Accepted: 11 September 2017 / Published: 1 October 2017

Abstract

Background: Lung cancer continues to be one of the most common cancers in Canada, with approximately 28,400 new cases diagnosed each year. Although timely care can contribute substantially to quality of life for patients, it remains unclear whether it also improves patient outcomes. In this work, we used a set of quality indicators that aim to describe the quality of care in lung cancer patients. We assessed adherence with existing guidelines for timeliness of lung cancer care and concordance with existing standards of treatment, and we examined the association between timeliness of care and lung cancer survival. Methods: Patients with lung cancer diagnosed between 2010 and 2015 were identified from the Pulmonary Division Lung Cancer Registry at our centre. Results: We demonstrated that the interdisciplinary pulmonary oncology service successfully treated most of its patients within the recommended wait times. However, there is still work to be done to decrease variation in wait time. Our results demonstrate a significant association between wait time and survival, supporting the need for clinicians to optimize the patient care trajectory. Interpretation: It would be helpful for Canadian clinicians treating patients with lung cancer to have wait time guidelines for all treatment modalities, together with standard definitions for all time intervals. Any reductions in wait times should be balanced against the need for thorough investigation before initiating treatment. We believe that our unique model of care leads to an acceleration of diagnostic steps. Avoiding any delay associated with referral to a medical oncologist for treatment could be an acceptable strategy with respect to reducing wait time.
Keywords: lung cancer; wait times lung cancer; wait times

Share and Cite

MDPI and ACS Style

Kasymjanova, G.; Small, D.; Cohen, V.; Jagoe, R.T.; Batist, G.; Sateren, W.; Ernst, P.; Pepe, C.; Sakr, L.; Agulnik, J. Lung Cancer Care Trajectory at a Canadian Centre: An Evaluation of How Wait Times Affect Clinical Outcomes. Curr. Oncol. 2017, 24, 302-309. https://doi.org/10.3747/co.24.3611

AMA Style

Kasymjanova G, Small D, Cohen V, Jagoe RT, Batist G, Sateren W, Ernst P, Pepe C, Sakr L, Agulnik J. Lung Cancer Care Trajectory at a Canadian Centre: An Evaluation of How Wait Times Affect Clinical Outcomes. Current Oncology. 2017; 24(5):302-309. https://doi.org/10.3747/co.24.3611

Chicago/Turabian Style

Kasymjanova, G., D. Small, V. Cohen, R. T. Jagoe, G. Batist, W. Sateren, P. Ernst, C. Pepe, L. Sakr, and J. Agulnik. 2017. "Lung Cancer Care Trajectory at a Canadian Centre: An Evaluation of How Wait Times Affect Clinical Outcomes" Current Oncology 24, no. 5: 302-309. https://doi.org/10.3747/co.24.3611

APA Style

Kasymjanova, G., Small, D., Cohen, V., Jagoe, R. T., Batist, G., Sateren, W., Ernst, P., Pepe, C., Sakr, L., & Agulnik, J. (2017). Lung Cancer Care Trajectory at a Canadian Centre: An Evaluation of How Wait Times Affect Clinical Outcomes. Current Oncology, 24(5), 302-309. https://doi.org/10.3747/co.24.3611

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