Efficiency of Diagnostic Strategy for Fast Track Lung Cancer Diagnosis

Not Applicable

Completed

• Conditions: Lung Cancer
• Interventions: Radiation: Usual diagnostic workup; Radiation: CT scan before chest physician

• Registration Number: NCT01779726
• Lead Sponsor: University of Aarhus

Brief Summary

Annually, 4,200 new cases of lung cancer are diagnosed in Denmark. The stage of the disease is an important prognostic factor as an advanced stage reduces the opportunity for surgical intervention and other curative treatment. In denmark, as in many other countries, a fast track evaluation for lung cancer has been introduced in 2008.

When the general practitioners refer patients through the fast track, the majority of patients make their first visit to the Department of Pulmonary Medicine. After this visit, further investigation is initiated, which is often a CT scan of the chest and the upper abdomen. We dont know Whether this is the most appropriate organisation.

The aim of this project is to evaluate the way lung cancer patients are examined through the fast track and the impact of chest CT before an evaluation by a chest physician.

Investigators want to randomise all patients referred for the existing fast track to either direct CT scan of chest and upper abdomen or to evaluation by the chest physician, in order to test:

A) Fast track performance measured by number of CT scans and chest physician specialist time per diagnosis, and whether there is a difference between the intervention and the control group.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2012-01
• Study First Submitted: 2013-01-28
• Study First Submitted QC: 2013-01-29
• Study First Posted: 2013-01-30
• Status Verified: 2013-08
• Primary Completion: 2013-08
• Study Completion: 2014-01
• Last Update Submitted: 2014-12-02
• Last Update Posted: 2014-12-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 331

Inclusion Criteria

• All patients referred to fast track evaluation (lung department, Aarhus university hospital) from primary care.

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Exclusion Criteria

• Not referred from general practice

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Usual diagnostic workup	Usual diagnostic workup	Usual diagnostic workup
CT scan before chest physician	CT scan before chest physician	CT scan before chest physician

Primary Outcome Measures

Name	Time	Method
Chest physician time	2013	Time (in minutes) spent by a chest physician pr patient

Secondary Outcome Measures

Name	Time	Method
Satisfaction with new organisation	2013	Measured with a qualitative focus interview with staff a the Department of lung medicine (doctors, nurses and secretary).

Trial Locations

Locations (2)

Aarhus University; 🇩🇰 Aarhus, Denmark

Department of lung medicine, Aarhus University Hospital; 🇩🇰 Aarhus, Denmark