© Copyright NYCRIS 2001. Extracts from these pages may be reproduced provided the source is fully acknowledged. Return to AUDIT PROJECTS.
Lung Audit Report
Calendar of Events
The current audit is a retrospective review of the use of radical radiotherapy (conventional) and surgery (lobectomy and pneumonectomy), for NSCLC patients and the criteria and assessments used in selecting appropriate patients around the region.
The rationale agreed at the start of the project is given below.
Clinical guidelines for the management of lung cancer have recently been published by several organisations. These recommend that every effort should be made to identify lung cancer patients who may have the chance of long-term survival if they are offered radical treatment. The guidelines specify that full staging and assessment are necessary for patients who might be considered for radical treatment, including a computed tomography (CT) scan followed by mediastinoscopy if CT findings are unclear.
Surgery has been considered by some to be the only curative treatment for non small cell lung cancer, even though very few patients with this diagnosis are suitable for surgery. For patients undergoing surgery, neoadjuvant or adjuvant treatment with chemotherapy or radiotherapy is recommended only in the context of a clinical trial. However, postoperative radiotherapy may also be employed.