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Efficiency of Diagnostic Strategy for Fast Track Lung Cancer Diagnosis

University of Aarhus logo

University of Aarhus

Status

Completed

Conditions

Lung Cancer

Treatments

Radiation: Usual diagnostic workup
Radiation: CT scan before chest physician

Study type

Interventional

Funder types

Other

Identifiers

NCT01779726
118/2011

Details and patient eligibility

About

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.

Enrollment

331 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

  • Not referred from general practice

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

331 participants in 2 patient groups

CT scan before chest physician
Experimental group
Description:
CT scan before chest physician
Treatment:
Radiation: CT scan before chest physician
Usual diagnostic workup
Active Comparator group
Description:
Usual diagnostic workup
Treatment:
Radiation: Usual diagnostic workup

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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