The trajectory of lung cancer patients in Western Australia—A data linkage study: Still a grim tale

摘要: Abstract Objective To plot the trajectory of lung cancer patients by linking multiple data sources in Western Australia. Design Database survey, linkage and postal survey. Setting Participants Lung registered on registry database Australia, April 2006 to March 2007. Main outcome measures Morbidity, mortality, medical procedures. Results 950 were from Sixty five percent male with a mean age at diagnosis 70 years (SD 11 years). Approximately 30% regional remote areas 76% reported history smoking, 41 pack-years per smoker. One four cases had metastases diagnosis. 18% tertiary hospital received no active treatment. The median time first visit GP recognized symptoms until consultation specialist was 2 weeks. presented directly Emergency Department. For 16% all cases, recorded administrative records presentation. Fifty-two chemotherapy, 49% radiotherapy 21% surgery. 13% treated readmitted complications therapy. Median survival 33 weeks (95% CI 30–40). Conclusion Data offers limited prospects for exploring available indicate that prognosis remains very poor high proportion are still diagnosed advanced disease. There is evidence suggest greater being offered surgical treatment compared more than decade ago. However now receive adjuvant therapies overall has improved matter