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Research Letter
Secondary-care costs associated with lung cancer diagnosed at emergency hospitalisation in the United Kingdom
  1. Martyn P T Kennedy1,
  2. Peter S Hall2,
  3. Matthew E J Callister1
  1. 1Leeds Teaching Hospitals NHS Trust, Leeds, UK
  2. 2Edinburgh Cancer Research Centre, University of Edinburgh, Edinburgh, UK
  1. Correspondence to Dr Martyn P T Kennedy, Leeds Teaching Hospitals NHS Trust, c/o Dr M Callister, Level 4, Gledhow Wing, Beckett Street, Leeds LS9 7TF, UK; martyn.kennedy{at}


Lung cancer diagnosis during emergency hospital admission has been associated with higher early secondary-care costs and lower longer-term costs than outpatient diagnoses. This retrospective cohort study analyses the secondary-care costs of 3274 consecutive patients with lung cancer. Patients diagnosed during emergency admissions incurred greater costs during the first month and had a worse prognosis compared with outpatient diagnoses. In patients who remained alive, costs after the first month were comparable between diagnostic routes. In addition to improving patient experience and outcome, strategies to increase earlier diagnosis may reduce the additional healthcare costs associated with this route to diagnosis.

  • Health Economist
  • Lung Cancer

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  • Contributors All authors contributed to the data analysis, manuscript preparation and manuscript review. The final research letter has been approved by all authors. The revised research letter has been approved by all authors.

  • Competing interests None declared.

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

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