EDITORIAL
Comparison of lung cancer outcomes in the UK and Italy
A tale of two cities: comparing lung cancer outcomes in Teesside, UK and Varese, Italy
1 Medical University of South Carolina, Charleston, SC 29425, USA
2 LUCADA Project, Royal College of Physicians (London), Glenfield Hospital, Leicester LE3 9QP, UK
3 Royal College of Physicians (London), Glenfield Hospital, Leicester LE3 9QP, UK
4 University College London Hospitals, Middlesex Hospital, London, UK
Correspondence to:
Correspondence to:
Dr G Silvestri
Medical University of South Carolina, Charleston, SC 29425, USA; silvestri@musc.edu
Keywords: lung cancer; management; surgical resection rate; survival
| The first 150 words of the full text of this article appear below. |
The study and publication of health outcomes has become increasingly common over the past decade. Providers of health care want assurance that they get what they pay for. In an increasingly consumer driven society, patients want to receive the best health care they can and feel they should have the opportunity to compare the performance of physicians and hospitals for any given illness. This can lead to the publication in the lay press of sensational articles which, for example, reveal that the mortality for heart bypass surgery is twice as high in one hospital as in another. Predictably, this is followed by physician outrage as they believe that their patients are somehow different, older, sicker, and at higher risk for a poor outcome. In some institutions the result is that surgeons no longer perform difficult cases for fear that they
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