Evidence map›Paper›PMID 35039312›Full record

ArticleBMJ open respiratory research2022

Hospital-based multidisciplinary lung cancer care in Australia: a survey of the landscape in 2021.

Fraser J H Brims, Chellan Kumarasamy, Jessica Nash, Tracy L Leong, Emily Stone, Henry M Marshall

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Fraser J H BrimsCurtin Medical School, Curtin University, Perth, Western Australia, Australia fraser.brims@curtin.edu.au.ORCID 0000-0002-6725-7535
Chellan KumarasamyCurtin Medical School, Curtin University, Perth, Western Australia, Australia.
Jessica NashDepartment of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia.
Tracy L LeongDepartment of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia.
Emily StoneDepartment of Respiratory Medicine, St Vincent's Hospital, Sydney, New South Wales, Australia.
Henry M MarshallThoracic Research Centre, University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-9626-8014
Curtin University · AUAustin Health · AUSt. Vincent's Birmingham · USThe University of Queensland · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLung cancer is the leading cause of cancer death in Australia and has the highest cancer burden. Numerous reports describe variations in lung cancer care and outcomes across Australia. There are no data assessing compliance with treatment guidelines and little is known about lung cancer multidisciplinary team (MDT) infrastructure around Australia.

methodsClinicians from institutions treating lung cancer were invited to complete an online survey regarding the local infrastructure for lung cancer care and contemporary issues affecting lung cancer.

resultsResponses from 79 separate institutions were obtained representing 72% of all known institutions treating lung cancer in Australia. Most (93.6%) held a regular MDT meeting although recommended core membership was only achieved for 42/73 (57.5%) sites. There was no thoracic surgery representation in 17/73 (23.3%) of MDTs and surgery was less represented in regional and low case volume centres. Specialist nurses were present in just 37/79 (46.8%) of all sites. Access to diagnostic and treatment facilities was limited for some institutions. IT infrastructure was variable and most sites (69%) do not perform regular audits against guidelines. The COVID-19 pandemic has driven most sites to incorporate virtual MDT meetings, with variable impact around the country. Clinician support for a national data-driven approach to improving lung cancer care was unanimous. DISCUSSION: This survey demonstrates variations in infrastructure support, provision and membership of lung cancer MDTs, in particular thoracic surgery and specialist lung cancer nurses. This heterogeneity may contribute to some of the well-documented variations in lung cancer outcomes in Australia.

Indexed as

COVID-19Lung NeoplasmsAustraliaHospitalsHumansPandemicsPatient Care TeamSARS-CoV-2lung cancer

Identifiers

PMID35039312
PMCPMC8765035
OpenAlexW4206234784

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.