Achieving earlier diagnosis of symptomatic lung cancer

Journal article

Bradley, S., Baldwin, D., Bhartia, B., Black, G., Callister, Matthew Ej, Clayton, Karen, Eccles, Sinan R, Evison, Matthew, Fox, Jesme, Hamilton, W., Konya, J., Lee, Richard W, Bradley, S., Navani, Neal, Noble, Ben, Quaife, Samantha L, Randle, Amelia, Rawlinson, Janette, Richards, Michael, Woznitza, Nick and O'Dowd, Emma 2024. Achieving earlier diagnosis of symptomatic lung cancer. The British Journal of General Practice : The Journal of the Royal College of General Practitioners. 75 (750), pp. 40-43. https://doi.org/10.3399/bjgp25X740493
AuthorsBradley, S., Baldwin, D., Bhartia, B., Black, G., Callister, Matthew Ej, Clayton, Karen, Eccles, Sinan R, Evison, Matthew, Fox, Jesme, Hamilton, W., Konya, J., Lee, Richard W, Bradley, S., Navani, Neal, Noble, Ben, Quaife, Samantha L, Randle, Amelia, Rawlinson, Janette, Richards, Michael, Woznitza, Nick and O'Dowd, Emma
Abstract

Lung cancer is the largest cause of cancer death, with 1.8 million deaths worldwide per year.1 Despite important improvements in treatment, outcomes remain poor compared with other common cancers. In England and Wales 1-year survival is only 48%.2 Stage of cancer and performance status (PS) are the strongest independent predictors of survival. The adjusted hazard ratio for death was 4.39 for PS 4 (the most impaired PS category) compared with PS 0 (the least impaired category) and 4.58 for stage IV compared with IA–IB in the English National Lung Cancer Audit.3 Unfortunately, almost half of patients with lung cancer are diagnosed with stage IV disease in England4 and 47% of patients present at PS 2–45 when they are not eligible for most systemic treatments. Furthermore, systemic treatments are more effective in patients who are fitter. Achieving diagnosis of lung cancer in earlier stages of the disease is therefore crucial to improving survival.

KeywordsDiagnosis; Lung cancer
Year2024
JournalThe British Journal of General Practice : The Journal of the Royal College of General Practitioners
Journal citation75 (750), pp. 40-43
PublisherRoyal College of General Practitioners
ISSN1478-5242
Digital Object Identifier (DOI)https://doi.org/10.3399/bjgp25X740493
Official URLhttps://bjgp.org/content/75/750/40
Publication dates
Online26 Dec 2024
Publication process dates
Deposited09 Jan 2025
Accepted author manuscript
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File Access Level
Open
Output statusPublished
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Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S., Grayson, K. and Bothamley, G. 2014. Adult chest radiograph reporting by radiographers: Preliminary data from an in-house audit programme. Radiography. 20 (3), pp. 223-229. https://doi.org/10.1016/j.radi.2014.03.002
Optimizing patient care in radiology through team-working: A case study
Woznitza, N., Piper, K., Rowe, S. and West, C. 2014. Optimizing patient care in radiology through team-working: A case study. Radiography. 20 (3), pp. 258-263. https://doi.org/10.1016/j.radi.2014.02.007
Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists
Woznitza, N., Piper, K., Burke, S., Ellis, S. and Bothamley, G. 2015. Chest x-ray agreement: comparative analysis between consultant radiologists, reporting radiographers and expert chest radiologists.
Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession
Smith, Tony, Harris, J., Woznitza, N., Marese, S. and Sale, C. 2015. Conceptualisation of the characteristics of advanced practitioners in the medical radiation profession. Journal of Medical Radiation Sciences. 62 (3), pp. 204-211. https://doi.org/10.1002/jmrs.115
e-Learning for Healthcare – Image Interpretation Project
Woznitza, N., e-Learning for Healthcare and College of Radiographers 2012. e-Learning for Healthcare – Image Interpretation Project. e-Learning for Healthcare.
An unusual cause of respiratory distress
Woznitza, N., Datsopolous, S., Shukla, R. and Aladangady, N. 2012. An unusual cause of respiratory distress. Archives of Disease in Childhood. 97, pp. A12-A13. https://doi.org/10.1136/archdischild-2012-301885.30
Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom
Woznitza, N., Piper, K., Burke, S., Patel, K., Amin, S. and Grayson, K. 2013. Chest X-Ray interpretation: agreement between consultant radiologists and a reporting radiographer in clinical practice in the United Kingdom.
Radiographer clinical reporting
Woznitza, N. 2014. Radiographer clinical reporting.
Commentary: radiographer reporting
Woznitza, N. 2014. Commentary: radiographer reporting. Journal of Medical Radiation Sciences. 61 (2), pp. 66-68. https://doi.org/10.1002/jmrs.51
Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations
Woznitza, N., Piper, K., Bothamley, G. and Burke, S. 2014. Do you see what I see? Clinical review of discordant chest x-ray consultant radiologist and radiographer interpretations.
Optimizing patient care in radiology through team-working: audit data
Woznitza, N. 2014. Optimizing patient care in radiology through team-working: audit data.
Optimizing neonatal X-ray quality: results of an audit
Woznitza, N., Hayes, N., Malshava, N. and McGuinness, D. 2014. Optimizing neonatal X-ray quality: results of an audit.
Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer
Woznitza, N., Piper, K., Aladangady, N., Iliadis, K., Prakash, R. and Santos, R. 2014. Agreement in neonatal x-ray interpretation: a comparison between consultant paediatric radiologists and a reporting radiographer.
Advanced radiographic practice in adult chest imaging
Woznitza, N. 2014. Advanced radiographic practice in adult chest imaging.
Can reporting radiographers produce clinically relevant reports?
Woznitza, N. and Piper, K. 2011. Can reporting radiographers produce clinically relevant reports?