Lung cancer care trajectory at a Canadian centre: an evaluation of how wait times affect clinical outcomes

  • G. Kasymjanova Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • D. Small Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • V. Cohen Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • R.T. Jagoe Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • G. Batist Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • W. Sateren McGill University
  • P. Ernst Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • C. Pepe Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • L. Sakr Sir Mortimer B. Davis Jewish General Hospital; McGill University
  • J. Agulnik Sir Mortimer B. Davis Jewish General Hospital; McGill University
Keywords: Lung cancer, wait time

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.

Author Biographies

G. Kasymjanova, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre; Rossy Cancer Network

D. Small, Sir Mortimer B. Davis Jewish General Hospital; McGill University
Peter Brojde Lung Cancer Centre, Segal Cancer Centre; Rossy Cancer Network
V. Cohen, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre; Rossy Cancer Network

R.T. Jagoe, Sir Mortimer B. Davis Jewish General Hospital; McGill University
Peter Brojde Lung Cancer Centre, Segal Cancer Centre; Rossy Cancer Network
G. Batist, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre; Rossy Cancer Network

W. Sateren, McGill University
Rossy Cancer Network
P. Ernst, Sir Mortimer B. Davis Jewish General Hospital; McGill University
Peter Brojde Lung Cancer Centre, Segal Cancer Centre;Rossy Cancer Network
C. Pepe, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre;Rossy Cancer Network

L. Sakr, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre;Rossy Cancer Network

J. Agulnik, Sir Mortimer B. Davis Jewish General Hospital; McGill University

Peter Brojde Lung Cancer Centre, Segal Cancer Centre;Rossy Cancer Network

Published
2017-10-30
How to Cite
Kasymjanova, G., Small, D., Cohen, V., Jagoe, R., 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
Section
Medical Oncology