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Implementing the National Optimal Lung Cancer
EP34425
Poster Title: Implementing the National Optimal Lung Cancer
Submitted on 03 Nov 2020
Author(s): Dr Oscar Evans, Dr Sue Matthews and Dr Christopher Johns
Affiliations: Sheffield Teaching Hospitals NHS Foundation Trust
This poster was presented at BIR Annual Congress 2020
Poster Views: 311
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Poster Information
Abstract: Implementing the National Optimal Lung Cancer Pathway


Introduction
The National Optimal Lung Cancer pathway (NOLCP), issued in August 2017 is an aspirational framework to reduce the time from patient referral to starting treatment. It specifies that CXR’s should be reported within 24 hours and staging CT’s should be reported within 72 hours of the CXR.

Aims
A retrospective re-audit comparing reporting times with NOLCP targets before and after introducing a general practice CXR work list.

Methodology
Reports for 50 consecutive patients referred to the lung cancer MDT following an abnormal CXR were examined. Times between the CXR and staging CT request, performance and report were calculated. Chi-square test was used for statistical analysis.

Results
36/50 patients (72%) had their CXR reported within 24 hours now compared to 5/15 (33%) before, p=0.006. 9/50 patients (18%) had their CXR and CT reported within 72 hours vs 1/15 (7%), p=0.29. Median times from CXR being performed to CT reported was 6 days.
The largest delay occurred between the CT being requested and performed (median 6 days) often due to patient factors (availability or transport issues). Median time from the CT being performed to reported was 1 day.

Conclusion
The GP CXR work list has improved compliance with the CXR reporting target however we fall short on the CT target.
Artificial intelligence software designed to identify suspicious CXR abnormalities which are confirmed or refuted by a radiologist prior to the patient leaving the department might increase the number of same day staging CT’s and decrease CT delays.
Summary: A retrospective re-audit comparing reporting times at our institution with the specified NOLCP targets before and after introducing a general practice CXR work list.
References:  https://www.cancerresearchuk.org/sites/default/files/lung_cancer_implementation_guide_august_2017.pdfReport abuse »
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