Trends in the pattern of care for lung cancer and their correlation with new clinical evidence: Experiences in a university-affiliated medical center
Journal
American Journal of Medical Quality
Journal Volume
21
Journal Issue
6
Pages
408-414
Date Issued
2006
Abstract
The authors surveyed the pattern of care (POC) of lung cancer (LC) using data on 4565 patients from the cancer registry of their university-affiliated hospital institution for the period of 1991 to 2002. New clinical evidence was retrieved from the citations used in the level 1 recommendations in guidelines and textbooks. Using this evidence, indexes (1-6) were chosen, including stage I to II non-small-cell LC (NSCLC): no adjuvant radiotherapy (ART; I); stage III NSCLC: equivocal ART (II), neoadjuvant chemotherapy (C/T; III), and chemoradiotherapy (CRT; IV); stage 4 NSCLC: C/T (V) and limited-stage small-cell LC: CRT (VI). Odds ratios of these index events in the postevidence period versus preevidence period were calculated to show trends in the POC. Trends in the POC were consistent with new clinical evidence with statistical significance. The age and gender adjustment odds ratio was 2.22 to 7.06 for beneficial indexes (3-6) and 0.12 to 0.4 for detrimental indexes (1-2). Copyright ? 2006 by the American College of Medical Quality.
Subjects
Clinical practice patterns; Evidence-based medicine; Information dissemination; Lung cancer
SDGs
Other Subjects
article; cancer staging; clinical practice; human; lung non small cell cancer; lung tumor; mass communication; multimodality cancer therapy; pathology; practice guideline; university hospital; Carcinoma, Non-Small-Cell Lung; Combined Modality Therapy; Diffusion of Innovation; Guideline Adherence; Hospitals, University; Humans; Lung Neoplasms; Neoplasm Staging; Physician's Practice Patterns; Practice Guidelines
Type
journal article