Article Text

Audit, research and guideline update
Variation in lung cancer resources and workload: results from the first national lung cancer organisational audit
  1. K Cusworth1,
  2. E O'Dowd2,
  3. R Hubbard2,
  4. P Beckett3,
  5. M D Peake3,
  6. I Woolhouse1,3
  1. 1Department of Respiratory Medicine, University Hospitals Birmingham, Birmingham, UK
  2. 2Department of Respiratory Medicine, University of Nottingham, Nottingham, UK
  3. 3Care Quality Improvement Department, Royal College of Physicians, London, UK
  1. Correspondence to Dr Ian Woolhouse, University Hospitals Birmingham, Mindelsohn Way, Birmingham B15 2WB, UK; Ian.Woolhouse{at}


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.

  • Lung Cancer

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