Efficiency of Diagnostic Strategy for Fast Track Lung Cancer Diagnosis

NCT01779726 | Completed

• 1 other identifier: 118/2011
• Study Type: interventional
• Target: 331
• Locations: 1 country
• Sites: 2

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.

Conditions

Lung Cancer

Keywords

Organization; of fast track

Outcome Measures

Primary Outcomes (1)

• Chest physician time

  Time (in minutes) spent by a chest physician pr patient

  2013

Secondary Outcomes (1)

• Satisfaction with new organisation

  2013

Study Arms (2)

CT scan before chest physician

EXPERIMENTAL

CT scan before chest physician

Radiation: CT scan before chest physician

Usual diagnostic workup

ACTIVE COMPARATOR

Usual diagnostic workup

Radiation: Usual diagnostic workup

Interventions

CT scan before chest physician RADIATION

Patients referred to department of lung medicine are randomised according to the month of birth. Patients born in even months are CT scan before a consultation with a chest physician

CT scan before chest physician

Usual diagnostic workup RADIATION

Patients born in odd months seen in the department of lung medicine by a chest physician and maybe then CT scanned (usual workup practice according to the fast track evaluation)

Usual diagnostic workup

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• Not referred from general practice

Sponsors & Collaborators

• University of Aarhus: lead

Study Sites (2)

Aarhus University

Aarhus, Aarhus, 8000, Denmark

Location

Department of lung medicine, Aarhus University Hospital

Aarhus, Aarhus, 8000, Denmark

Location

Related Publications (1)

• Guldbrandt LM, Fenger-Gron M, Folkersen BH, Rasmussen TR, Vedsted P. Reduced specialist time with direct computed tomography for suspected lung cancer in primary care. Dan Med J. 2013 Dec;60(12):A4738.

  PMID: 24355447 DERIVED

MeSH Terms

Conditions

Lung Neoplasms

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Peter Vedsted, M.D., Prof.

  The Research Unit for General Practice

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 28, 2013
• First Posted: January 30, 2013
• Study Start: January 1, 2012
• Primary Completion: August 1, 2013
• Study Completion: January 1, 2014
• Last Updated: December 3, 2014

Record last verified: 2013-08

Locations

DK (2)