RT Journal Article
SR Electronic
T1 Population-based trends in use of surgery for non-small cell lung cancer in a UK region, 1995–2006
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 453
OP 455
DO 10.1136/thoraxjnl-2011-200039
VO 66
IS 5
A1 Michael McMahon
A1 Josephine M Barbiere
A1 David C Greenberg
A1 Karen A Wright
A1 Georgios Lyratzopoulos
YR 2011
UL http://thorax.bmj.com/content/66/5/453.abstract
AB Objective To assess time trends in use of surgery in patients with non-small cell lung cancer (NSCLC) in a UK region.Methods Cancer registration data for patients diagnosed with NSCLC between 1995 and 2006 in the East of England were analysed. Rates of surgery use for different age, gender, diagnosis period, tumour subtype and deprivation quintile groups were examined.Results The analysis included 18 767 patients with NSCLC. During the study period, 13% of patients were treated by surgery. Use of surgery decreased over time from 15% in 1995–1997 to 11% in 2004–2006 (p=0.022). Initial socioeconomic differences in surgery use narrowed significantly over time (p=0.028) and became non-apparent at the end of the study period.Conclusions Use of surgery in patients with NSCLC decreased during the study period, possibly reflecting increasing quality of preoperative staging processes. Initial socioeconomic inequalities in surgery use became undetectable at the end of the study period. The findings provide baseline information to support comparisons with patterns of clinical management in more recent years.