| Sub-title | |
| Authors | A Casha W Busuttil J Galea |
| Abstract | Aim: This paper looks into the state of lung cancer resection in Malta, specifically the delay in time from presentation to operation and the operability rate. The local situation is then compared to the Calman report on lung cancer (“Improving Outcomes in Lung Cancer” NHS Executive UK, 1998 pp1-199). Methods: A retrospective collection of data from theatre operation books was used to collect the total number of curative or palliative surgical procedures for lung cancer. These included wedge excisions, lobectomies and pneumonectomies. Data for the two participating consultants was used to identify patients for which data related to timing from presentation to operation was sought. Retrospective analysis of case notes was then performed on this subset of patients. Results: There were 14 cases of resection of lung cancer in 2005, of which 9 were used to analyse waiting times. Time from presentation of symptoms to first tentative diagnosis was 70 days, from diagnosis to referral for surgery was 65 days, and from referral to operation was 11 days, the total time being 146 days. Pneumonectomy rate was 14% and open and close thoracotomy rate was 7%. Only 33% of patients received treatment within 2 months of presentation. Conclusion: The results are analysed by comparing with the six key recommendations for “gold standard” lung cancer services as stated in the Calman NHS Cancer Plan UK. Recommendations are suggested for improvement of lung cancer services in Malta. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 18 Supplement |
| Page | |
| Date | 01/12/2006 |
| Link to journal | |
| Key words | audit, curative, lung cancer, palliative, resection, surgery |