医学
工作量
肺癌
审计
癌症
多元分析
胸腔镜检查
外科
肿瘤科
内科学
会计
计算机科学
业务
操作系统
作者
K. Cusworth,Emma O’Dowd,Richard Hubbard,Paul Beckett,Michael Peake,Ian Woolhouse
出处
期刊:Thorax
[BMJ]
日期:2015-06-04
卷期号:70 (10): 1001-1003
被引量:10
标识
DOI:10.1136/thoraxjnl-2015-207166
摘要
We report the findings of the first national lung cancer organisational audit. The results demonstrate marked variation in service provision and workload of some lung cancer specialists. For example, over half of the clinical nurse specialists report case volumes over recommended numbers. Some trusts have no access to key treatments such as video assisted thoracoscopy (VAT) lobectomy and stereotactic radiotherapy. Multivariate regression analysis demonstrated an association between higher surgical resection rates and the on-site availability of advanced staging and therapeutic modalities, for example, PET scan and VAT lobectomy. We conclude by making a number of recommendations to address the variation in lung cancer care.
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