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ORIGINAL ARTICLE Timeliness Across the Continuum of Care in Veterans with Lung Cancer Adam A. Powell, PhD, MBA,* Ellen M. Schultz, MS,† Diana L. Ordin, MD, MPH,‡ Mark A. Enderle, MD,§ Barry A. Graham, MD, Melissa R. Partin, PhD,* and Michael K. Gould, MD, MS¶ ung cancer is the most common cause of cancer mortality Introduction: By providing timely care at all steps along the Lworldwide. Overall, the 5-year lung cancer survival rate continuum of lung cancer care, providers may be able to limit is only 16%. However, this rate varies considerably by stage. disease progression before treatment and possibly improve clinical Nearly half (49%) of patients with localized cancer survive outcomes. This study examines the timeliness of key events in the five or more years from diagnosis, compared with only 3% of process of care between initial radiograph and first treatment. patients with distant metastasis. By providing timely care at Methods: Dates of key events were extracted from the medical all steps along the continuum of lung cancer care, providers records of 2463 veterans receiving lung cancer care at 133 Depart- may be able to limit disease progression before treatment, ment of Veterans Affairs (VA) facilities. After reviewing
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Sep 1, 2008
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