Route to diagnosis and treatment of lung cancer for patients presenting to Leeds Teaching Hospitals 2008–2015
| Year of lung cancer diagnosis | Pre-campaign | Early campaign | Established campaign | |||||
| 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | |
| Route to diagnosis | ||||||||
| Emergency presentation | 214 (37.1) | 201 (34.9) | 208 (36.0) | 192 (31.6) | 183 (28.2) | 162 (28.2) | 171 (29.0) | 177 (29.1) |
| Clinic referral (fast-track/respiratory) | 213 (36.9) | 204 (35.4) | 218 (37.7) | 252 (41.4) | 310 (47.8) | 272 (47.4) | 298 (50.6) | 306 (50.3) |
| Intrahospital referral | 119 (20.6) | 148 (25.7) | 125 (21.6) | 133 (21.9) | 116 (17.9) | 90 (15.7) | 69 (11.7) | 75 (12.3) |
| Other (nodule/pneumonia) | 29 (5.0) | 20 (3.5) | 24 (4.2) | 29 (4.8) | 38 (5.9) | 49 (8.5) | 48 (8.1) | 47 (7.7) |
| Unknown | 2 (0.3) | 3 (0.5) | 3 (0.5) | 2 (0.3) | 2 (0.3) | 1 (0.2) | 3 (0.5) | 3 (0.5) |
| Linear trends (all analyses excluding unknown): emergency presentation vs other routes: χ2(1)=20.1, p<0.001; clinic referral vs other routes: χ2(1)=60.0, p<0.001; intrahospital referral vs other routes: χ2(1)=52.6, p<0.001; other (nodule/pneumonia) vs other routes: χ2(1)=19.8, p<0.001 | ||||||||
| Treatment | ||||||||
| Surgical resection | 77 (13.2) | 81 (14.1) | 68 (11.8) | 84 (13.8) | 106 (16.3) | 95 (16.6) | 105 (17.8) | 85 (13.8) |
| Radical oncological treatment | 21 (3.6) | 41 (7.1) | 67 (11.6) | 71 (11.7) | 92 (14.2) | 92 (16.0) | 86 (14.6) | 102 (16.8) |
| Palliative oncology | 204 (35.4) | 199 (34.5) | 189 (32.7) | 220 (36.2) | 238 (36.7) | 193 (33.6) | 203 (34.5) | 208 (34.2) |
| Best supportive care | 274 (47.5) | 254 (44.1) | 253 (43.8) | 232 (38.2) | 210 (32.4) | 194 (33.8) | 189 (32.1) | 213 (35.0) |
| Other | 2 (0.3) | 1 (0.2) | 1 (0.2) | 1 (0.2) | 3 (0.5) | 0 (0.0) | 6 (1.0) | 1 (0.2) |
| Linear trend radical treatment (surgical and radical oncology combined) vs others: χ2(1)=60.6, p<0.0001 | ||||||||
All data presented as number of cases with percentage of total in parentheses. Changes over the eight calendar years were assessed by a one degree of freedom χ2 test for trend in proportions.