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Title: Victorian Comprehensive Cancer Centre lung cancer clinical audit: collecting the UK National Lung Cancer Audit data from hospitals in Australia.
Austin Authors: Mileshkin, Linda;Dunn, Catherine;Cross, Hannah;Duffy, Mary;Shaw, Mark;Antippa, Phillip;Mitchell, Paul L R ;Akhurst, Tim;Conron, Matthew;Moore, Melissa;Philip, Jenny;Bartlett, James;Emery, Jon;Zambello, Belinda
Affiliation: Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Western and Central Melbourne Integrated Cancer Service, Melbourne, Victoria, Australia
Royal Melbourne Hospital, Parkville, Victoria, Australia
Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia
Department of Medical Oncology, Austin Health, Olivia-Newton John Cancer and Wellness Centre, Heidelberg, Victoria, Australia
St Vincent's Hospital, Fitzroy, Victoria, Australia
Western Health, Sunshine, Victoria, Australia
General Practice and Primary Health Care Academic Centre, University of Melbourne Melbourne, Victoria, Australia
Issue Date: 4-Dec-2018
Date: 2018-12-04
Publication information: Internal Medicine Journal 2018; online first: 4 December
Abstract: Clinical audit may improve practice in cancer service provision. The UK National Lung Cancer Audit (NLCA) collects data for all new cases of thoracic cancers. We aimed to collect similar data for our Victorian patients from six hospitals within the Victorian Comprehensive Cancer Centre (VCCC) and associated Western and Central Melbourne Integrated Cancer Service (WCMICS). We conducted a retrospective audit of all newly diagnosed patients with lung cancer and mesothelioma in 2013 across the 6 VCCC/WCMICS hospitals. The objectives were to adapt the NLCA dataset for use in the Australian context, to analyse the findings using descriptive statistics and to determine feasibility of implementing a routine, ongoing audit similar to that in the UK. Individual data items were adapted from the NLCA by an expert steering committee. Data were collated from the Victorian Cancer Registry, Victorian Admitted Episodes Dataset and individual hospital databases. Individual medical records were audited for missing data. 845 patients were diagnosed across the sites in 2013. Most were aged 65-80 (55%), and were male (62%). Most had non-small cell lung cancer (81%) with 9% diagnosed with small cell lung cancer and 2% with mesothelioma. Data completeness varied significantly between fields. For those with higher levels of completeness, headline indicators of clinical care were comparable to NLCA data. The Victorian population seem to lack access to specialist lung cancer nurse services. Lung cancer care at participating hospitals appeared to be comparable to the UK in 2013. In future, prospective data collection should be harmonized across sites and correlated with survival outcomes. One area of concern was a lack of documented access to specialist nursing services. This article is protected by copyright. All rights reserved.
DOI: 10.1111/imj.14183
ORCID: 0000-0002-3663-4406
Journal: Internal Medicine Journal
PubMed URL: 30515932
Type: Journal Article
Subjects: Lung cancer
Appears in Collections:Journal articles

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