A Multidisciplinary Lung Cancer Program: Does It Reduce Delay Between Diagnosis and Treatment?
INTRODUCTION
Lung cancer is the leading cause of cancer death in the USA, claiming more than 140,000 deaths annually. Delays in diagnosis and treatment can lead to missed opportunities for both curative and life prolonging therapies. This study aimed to evaluate duration of time to diagnosis and first treatment, as well as investigate reasons for delays in care.


METHODS
This retrospective study included all lung cancer cases diagnosed by Stony Brook's Lung Cancer Evaluation Center (LCEC) between 2013 and 2019. Demographic, radiologic, pathologic and clinical variables were investigated, including cancer staging, histology, and medical and family histories. Evaluations included the determination of median time from initial encounter to diagnosis, median time from diagnosis to start of treatment and an exploration of the factors that influence possible causes for delays in care.


RESULTS
The LCEC's comprehensive multidisciplinary lung nodule program yielded a median length of time from CT to PET of 11 days, PET to procedure of 13 days, procedure to treatment consult of 9 days, and from consult to treatment of 9 days. LCEC patients experienced an overall median of 44 days from initial presentation to first treatment compared to the national ideal of 62 days, thereby representing a 29% reduction in time from first CT to onset of treatment.


CONCLUSION
Delays in lung cancer diagnosis and treatment can negatively impact patient morbidity and mortality. This study suggests that a coordinated multidisciplinary lung cancer program may reduce delays in care, thereby improving patient outcomes.
['Albano|Denise|D|', 'Bilfinger|Thomas|T|', 'Feraca|Melissa|M|', 'Kuperberg|Stephen|S|', 'Nemesure|Barbara|B|http://orcid.org/0000-0003-4278-9540']
D000368:Aged D002277:Carcinoma D057210:Delayed Diagnosis D005260:Female D006801:Humans D008175:Lung Neoplasms D008297:Male D008875:Middle Aged D009367:Neoplasm Staging D049268:Positron-Emission Tomography D012017:Referral and Consultation D012189:Retrospective Studies D013997:Time Factors D061665:Time-to-Treatment D014057:Tomography, X-Ray Computed
Lung cancer Diagnosis Delay in care Barriers to care Multidisciplinary care