ArticleBritish journal of cancer2014
Factors associated with timeliness of post-primary care referral, diagnosis and treatment for lung cancer: population-based, data-linkage study.
Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Pooled it
- A prognostic predictor panel with DNA methylation biomarkers for early-stage lung adenocarcinoma in Asian and Caucasian populations.Journal of biomedical science · 2016Trial
- Treatment Timeliness in Extensive-Stage SCLC and Impact on Survival: A Registry-Based Observational Study.JTO clinical and research reports · 2026Article
- Hospital referral patterns amongst older adults in Zimbabwe: a cross-sectional study.Global health action · 2025Article
- Fast-Track Diagnostic Pathway for Lung Cancer Detection: Single-Center Experience.Journal of clinical medicine · 2025Article
- Treatment delays in patients with lung cancer: a retrospective study conducted at the National Cancer Institute of Mexico between 2004 and 2021.The oncologist · 2025Article
- Article
- Machine Learning Techniques to Predict Timeliness of Care among Lung Cancer Patients.Healthcare (Basel, Switzerland) · 2023Article
- Managing the cancer backlog: a national population-based study of patient mobility, waiting times and 'spare capacity' for cancer surgery.The Lancet regional health. Europe · 2023Article
- Factors influencing the timeliness of care for patients with lung cancer in Bangladesh.BMC health services research · 2023Article
- Ageism directed to older adults in health services: A scoping review.Revista latino-americana de enfermagem · 2023Article
- The Effect of Timeliness of Care on Lung Cancer Survival - A Population-Based Approach.Annals of global health · 2023Article
- Characterizing Regional Variability in Lung Cancer Outcomes across Ontario-A Population-Based Analysis.Current oncology (Toronto, Ont.) · 2022Article
- 1-year mortality in lung cancer in France according to key timepoints of care pathways.ERJ open research · 2022Article
- Morbidity and measures of the diagnostic process in primary care for patients subsequently diagnosed with cancer.Family practice · 2022Article
- "One stop" clinic for upper gastrointestinal cancer-an alternative to "straight to test" referrals?Irish journal of medical science · 2022Article
- Wait Times and Survival in Lung Cancer Patients across the Province of Quebec, Canada.Current oncology (Toronto, Ont.) · 2022Review
- Article
- Pattern of Treatment Initiation and Outcomes for Patients With Metastatic Non-small Cell Lung Cancer in Ontario.Cureus · 2022Article
- Diagnosing pancreatic cancer in general practice: a cross-sectional study on associations between suspicion of cancer, urgent referral and time to diagnosis.Scandinavian journal of primary health care · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe NHS Cancer Plan for England set waiting time targets for cancer referral (14 days from GP referral to first hospital appointment) and treatment (31 days from diagnosis, 62 days from urgent GP referral). Interim diagnostic intervals can also be calculated. The factors that influence timely post-primary care referral, diagnosis and treatment for lung cancer are not known.
methodsNorthern and Yorkshire Cancer Registry, Hospital Episode Statistics and lung cancer audit data sets were linked. Logistic regression was used to investigate the factors (socioeconomic position, age, sex, histology, co-morbidity, year of diagnosis, stage and performance status (PS)) that may influence the likelihood of referral, diagnosis and treatment within target, for 28 733 lung cancer patients diagnosed in 2006-2010.
resultsLate-stage, poor PS and small-cell histology were associated with a higher likelihood of post-primary care referral, diagnosis and treatment within target. Older patients were significantly less likely to receive treatment within the 31-day (odds ratio (OR)=0.79, 95% confidence interval (CI) 0.69-0.91) and 62-day target (OR=0.80, 95% CI 0.67-0.95) compared with younger patients.
conclusionsOlder patients waited longer for treatment and this may be unjustified. Patients who appeared ill were referred, diagnosed and treated more quickly and this 'sicker quicker' effect may cancel out system socioeconomic inequalities that might result in longer time intervals for more deprived patients.
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