title: Variation in lung cancer resources and workload: results from the first national lung cancer organisational audit.
abstract: 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.
authors.affiliation: Department of Respiratory Medicine, University Hospitals Birmingham, Birmingham, UK.
authors.forename: K
authors.initials: K
authors.lastname: Cusworth
authors.affiliation: Department of Respiratory Medicine, University of Nottingham, Nottingham, UK.
authors.forename: E
authors.initials: E
authors.lastname: O'Dowd
authors.affiliation: Department of Respiratory Medicine, University of Nottingham, Nottingham, UK.
authors.forename: R
authors.initials: R
authors.lastname: Hubbard
authors.affiliation: Care Quality Improvement Department, Royal College of Physicians, London, UK.
authors.forename: P
authors.initials: P
authors.lastname: Beckett
authors.affiliation: Care Quality Improvement Department, Royal College of Physicians, London, UK.
authors.forename: M D
authors.initials: MD
authors.lastname: Peake
authors.affiliation: Department of Respiratory Medicine, University Hospitals Birmingham, Birmingham, UK Care Quality Improvement Department, Royal College of Physicians, London, UK.
authors.forename: I
authors.initials: I
authors.lastname: Woolhouse
mesh_terms: D002173:Cancer Care Facilities; D054869:Clinical Audit; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D008330:Management Audit; D008495:Medical Oncology; D010043:Outcome and Process Assessment, Health Care; D013903:Thoracic Surgery; D006113:United Kingdom; D016526:Workload
keywords: Lung Cancer