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Improving surgical resection rates in lung cancer without a two stop service
  1. E F Bowen,
  2. J R Anderson,
  3. M E Roddie
  1. Hammersmith & Charing Cross Hospitals NHS Trust, Du Cane Road, London W12 0HN, UK; fbowen@hhnt.org

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In 1998 the Papworth Thoracic Oncology Unit published their data from the first year of a two stop clinic. By this means they improved their surgical resection rates for patients with non-small cell lung cancer (NSCLC) from 10% to 25%.1 This paper is quoted as the benchmark for surgical resection in the UK. In 1998 the surgical resection rate for patients with NSCLC in Hammersmith Hospitals Trust was 4.7% (three of 64 patients). In March 2000 we set up rapid access clinics to assess both patients with abnormal chest radiographs and urgent GP referrals. In accordance with the National Service Framework (NSF),2 multidisciplinary team meetings (MDTM) between respiratory medicine, radiology, cardiothoracic surgery, oncology and palliative medicine were established.

From April 2000 inpatients and outpatients with a chest …

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