Quality Gaps and Comparative Effectiveness in Lung Cancer Staging and Diagnosis.

ABSTRACT:

Background

Guidelines recommend mediastinal sampling first for patients with mediastinal lymphadenopathy with suspected lung cancer. The objective of this study was to describe practice patterns and outcomes of diagnostic strategies in patients with lung cancer.

Methods

This study included a retrospective cohort of 15,914 patients with lung cancer with T1-3N1-3M0 disease diagnosed from 2004 to 2013 in the National Cancer Institute's Surveillance, Epidemiology, and End Results or Texas Cancer Registry Medicare-linked databases. Patients who had mediastinal sampling as their first invasive test were classified as guideline consistent; all others were guideline inconsistent. Propensity matching was used to compare the number of tests performed, and multivariable logistic regres

SUBMITTER: Ost DE 

PROVIDER: S-EPMC8173770 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature