Management of lymphoma patients in a cancer unit: an audit of 15 years' experience in a district general hospital.
The objectives were to analyse data obtained in a district general hospital medical oncology unit over a 15-year period, and to provide a comparator for standards of care for lymphoma patients in new cancer units. Prospectively collected data were analysed on 208 consecutive patients presenting with lymphoma, on an 'all-comers' basis, between 1981 and 1996. Treatment was with radiotherapy and/or chemotherapy, according to local protocols. The outcome measure was survival from the date of diagnosis. The 5-year actuarial survival was 72.7% for Hodgkin's disease and 55.7% for non-Hodgkin's lymphoma. Age and stage of disease were the only predictors of survival in a multivariate analysis. Histological classification was not a useful predictor of survival in this analysis. Survival figures comparable with those obtained nationally and across Europe are attainable in a cancer unit. Multiple pathways of referral of lymphoma patients operate in our region.
Chester
J D
JD
Bradford Royal Infirmary, UK.
Clark
C J
CJ
Gouldesbrough
D R
DR
Bogle
S M
SM
Bradley
C J
CJ
Parker
D
D
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004739:England / Q000453:epidemiology; D005260:Female; D006767:Hospitals, District; D006769:Hospitals, General; D006801:Humans; D016013:Likelihood Functions; D008223:Lymphoma / Q000401:mortality* / Q000473:pathology / Q000628:therapy; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D015233:Models, Statistical; D015999:Multivariate Analysis; D016522:Oncology Service, Hospital / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D016019:Survival Analysis; D015996:Survival Rate