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. 2020 Sep 28;20(3):14.
doi: 10.5334/ijic.5438.

Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature

Zulfiquer Otty  1   2   3 , Amy Brown  1 , Sabe Sabesan  1   2   3 , Rebecca Evans  2   3 , Sarah Larkins  2   3
Affiliations

Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature

Zulfiquer Otty et al. Int J Integr Care. .

Abstract

Introduction: Much of the existing work around implementation of cancer optimal care pathways (OCP) has either focused exclusively on the clinical elements of care or has targeted individual stages in the cancer trajectory, rather than using a patient-centred or service delivery lens to inform the integration of care across the continuum. This review aimed to identify and summarise the available literature on lung cancer OCP.

Methods: A scoping review was conducted, with literature across multiple databases and grey literature searched. Articles were included if the OCP was being used to manage adult patients with lung cancer and reported on either the development process and outcomes and/or barriers and facilitators associated with optimal care pathway development and/or uptake.

Results: Of the 381 references screened, 32 articles were included. The lung cancer pathways reviewed varied significantly. A number of themes were identified including the development and implementation of the OCP; the use of quality indicators to audit the OCP; and studies on outcomes of the OCP incorporating timeliness of care delivery, patient experiences and health care utilisation and costs.

Conclusions: The limited number of relevant articles found in this review may suggest that an OCP for lung cancer is still in its preliminary stages across the broader health systems.

Keywords: care pathways; integrated care; lung cancer; scoping review.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Figure 1
Figure 1
Flow chart for selection of articles.
See this image and copyright information in PMC

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References

    1. Australian Institute of Health and Welfare. Australia’s health 2016 Canberra, ACT: AIHW; 2016. [cited 18 May 2019] Availabe from: https://www.aihw.gov.au/getmedia/9844cefb-7745-4dd8-9ee2-f4d1c3d6a727/19....
    1. Hermens RPMG, Ouwens MMTJ, Vonk-Okhuijsen SY, van der Wel Y, Tjan-Heijnen VCG, van den Broek LD, et al. Development of quality indicators for diagnosis and treatment of patients with non-small cell lung cancer: A first step toward implementing a multidisciplinary, evidence-based guideline. Lung Cancer, 2006; 54(1): 117–124. DOI: 10.1016/j.lungcan.2006.07.001 - DOI - PubMed
    1. Barrett J, Hamilton W. Pathways to the diagnosis of lung cancer in the UK: a cohort study. BMC Family Practice, 2008; 9(1). DOI: 10.1186/1471-2296-9-31 - DOI - PMC - PubMed
    1. Hall SE, Holman CD, Sheiner H. The influence of socio-economic and locational disadvantage on patterns of surgical care for lung cancer in Western Australia 1982–2001. Australian Health Review, 2004; 27(2): 68–79. DOI: 10.1071/AH042720068 - DOI - PubMed
    1. Verma R, Pathmanathan S, Otty Z, Binder J, Vangaveti V, Buttner P, et al. Delays in lung cancer referral pathways between rural and urban patients in North Queensland: A mixed methods study. Internal Medicine Journal, 2018; 48(10): 1228–1233. DOI: 10.1111/imj.13934 - DOI - PubMed

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