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F C Wells
Lung cancer • 10: Delivering a lung cancer service in the 21st century
Thorax 2003; 58: 996-997 [Abstract] [Full text] [PDF]

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[Read eLetter] The effectiveness of a multidisciplinary approach in the management of lung cancer
Prashant S Borade, Daniel K C Lee, Venkateswaran Mahadevan, Douglas Seaton   (9 March 2005)

The effectiveness of a multidisciplinary approach in the management of lung cancer 9 March 2005
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Prashant S Borade
Department of Respiratory Medicine, Ipswich Hospital, Heath Road, Ipswich IP4 5PD, Suffolk, England,
Daniel K C Lee, Venkateswaran Mahadevan, Douglas Seaton

Send letter to journal:
Re: The effectiveness of a multidisciplinary approach in the management of lung cancer

psborade{at}hotmail.com Prashant S Borade, et al.

Dear Editor,

Lung cancer accounts for 1 in 3 cancer deaths and 25% of cancer registrations. Recognition that accurate and prompt diagnosis can help save lives has led to the formation of the multidisciplinary team (MDT), which consists primarily of chest physicians, thoracic surgeons, radiologists, pathologists, and oncologists, in the management of patients with lung cancer.

A study was conducted to assess the effectiveness of the lung cancer MDT. Data were compared between the year 1997 and 2003 representing the pre- and post-MDT era respectively.

Data are shown in Table 1.

Establishment of the MDT has lead to significant improvements in lung cancer outcomes and is effective in managing patients with lung cancer.

Table 1. Data for the year 1997 (pre-MDT) and 2003 (post-MDT).

1997 2003
All patients to have a chest X-ray 100% 100%
Reviewed by specialist within 14 days 91% 100%
Bronchoscopy within 7 days 71% 92%
Results available within 14 days 100% 100%
Results communicated to patient within 14 days 80% 100%
CT scan within 14 days from clinic review 76% 89%
Diagnosis confirmed by histopathology 76% 82%
Surgery within 4 weeks of referral 97% 100%
Reviewed by oncologist within 7 days 74% 85%

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