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Correspondence
Response to: What characteristics of primary care and patients are associated with early death in patients with lung cancer in the UK?
  1. Trevor K Rogers1,
  2. William Hamilton2,
  3. Angela Tod3,
  4. Richard Neal4
  1. 1Chest Clinic, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
  2. 2Department of Primary Care Diagnostics, University of Exeter, Exeter, UK
  3. 3School of Nursing, Midwifery and Social Work/Central Manchester NHS Foundation Trust, Manchester, UK
  4. 4Department of Primary Care Medicine, University of Bangor, Wrexham, UK
  1. Correspondence to Dr Trevor K Rogers, Chest Clinic, Doncaster Royal Infirmary, Armthorpe Road, Doncaster, South Yorkshire DN2 5LT, UK; Trevor.rogers{at}dbh.nhs.uk

https://doi.org/10.1136/thoraxjnl-2014-206514

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    We appreciate the paper by O'Dowd et al1 as an interesting contribution to the literature concerning the primary care diagnosis of lung cancer. By concentrating on those patients dying soon after diagnosis, this paper is addressing the issue of access to care of patients with lung cancer who are already gravely ill. The disappointingly low chest X-ray (CXR) referral rates (we calculate obtained in only 40.2% and 50.4% of the patients attending with medium/high frequency and dying before and after 90 days, respectively) may represent irregular recording of CXR requests in The Health Improvement Network (THIN). Electronic research databases store their data in …

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    Footnotes

    • Correction notice This article has been corrected since it was publishing Online First. ‘CPRD’ has been corrected to ‘GPRD’ for ‘General Practice Research Database’. The title has also been amended to read ‘Response to: What characteristics of primary care and patients are associated with early death in patients with lung cancer in the UK?’.

    • Contributors TKR drafted the letter after receiving suggestions from AT and WH, who provided data from two of his group's studies. RN then made further comments. All authors approved the article before submission.

    • Competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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