Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11941
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dc.contributor.authorMitchell, Paul L Ren
dc.contributor.authorThursfield, Vicky Jen
dc.contributor.authorBall, David Len
dc.contributor.authorRichardson, Gary Een
dc.contributor.authorIrving, Louis Ben
dc.contributor.authorTorn-Broers, Yvonneen
dc.contributor.authorGiles, Graham Gen
dc.contributor.authorWright, Gavin Men
dc.date.accessioned2015-05-16T01:34:30Z
dc.date.available2015-05-16T01:34:30Z
dc.date.issued2013-11-18en
dc.identifier.citationMedical Journal of Australia; 199(10): 674-9en
dc.identifier.govdoc24237097en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11941en
dc.description.abstractTo identify areas to improve patient management in lung cancer, which remains the greatest cause of death from cancer in Australia.Retrospective survey of all cases of lung cancer reported to the Victorian Cancer Registry from 1 January to 30 June 2003 and followed up for 5 years.Patient and disease characteristics, investigations, staging, treatment, cause of death, survival.841 patients were included. Smoking data were available for 799, of whom 63 (7.9%) had never smoked. Of 655 non-small cell lung cancer (NSCLC) cases, 198 (30.2%) were treated with curative intent, 125 (19.1%) by surgery and 73 (11.1%) by radiotherapy with or without chemotherapy. Only 7 (6.9%) of surgical patients with complete R0 resection had adjuvant chemotherapy. Of 101 small cell lung cancer (SCLC) cases, a third had limited stage disease which was mostly treated with curative intent by chemotherapy with or without radiotherapy. Patients whose cases were discussed at a multidisciplinary meeting (MDM) were significantly more likely to receive anticancer treatment and had longer survival; on multivariate analysis, MDM discussion was an independent prognostic factor. Compared with a similar survey 10 years earlier, the median age of patients diagnosed with lung cancer had increased by almost 3 years, the proportion of affected men decreased and adenocarcinoma was more frequent, while 10% of patients continued to have no pathologically confirmed diagnosis and 26% continued to receive no anticancer treatment. The number of patients with NSCLC who went on to a definitive surgical procedure fell with no detriment to survival, which likely reflected better staging with the introduction of positron emission tomography scanning.Opportunities to improve patient management included increasing the proportion with a pathologically confirmed diagnosis and greater use of postsurgical adjuvant chemotherapy. A high proportion of patients received no treatment, with underuse of chemotherapy and radiotherapy. Critically, the low rate of case discussions at MDMs needs to increase. However, effective strategies are required to identify cases early, as over two-thirds currently present with incurable disease.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherCarcinoma, Non-Small-Cell Lung.diagnosis.etiology.mortality.therapyen
dc.subject.otherCombined Modality Therapyen
dc.subject.otherFemaleen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherHealth Care Surveysen
dc.subject.otherHealth Surveysen
dc.subject.otherHumansen
dc.subject.otherLung Neoplasms.diagnosis.etiology.mortality.therapyen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherMultivariate Analysisen
dc.subject.otherPrognosisen
dc.subject.otherProportional Hazards Modelsen
dc.subject.otherRegistriesen
dc.subject.otherRetrospective Studiesen
dc.subject.otherSmall Cell Lung Carcinoma.diagnosis.etiology.mortality.therapyen
dc.subject.otherSmoking.adverse effects.epidemiologyen
dc.subject.otherVictoria.epidemiologyen
dc.titleLung cancer in Victoria: are we making progress?en
dc.typeJournal Articleen
dc.identifier.journaltitleMedical Journal of Australiaen
dc.identifier.affiliationOlivia Newton-John Cancer and Wellness Centre, Austin Health, Heidelberg, Victoria, Australia, Australiaen
dc.description.pages674-9en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/24237097en
dc.type.austinJournal Articleen
local.name.researcherMitchell, Paul L R
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptMedical Oncology-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
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