Lung cancer patients in New Zealand initially present to secondary care through the emergency department rather than by referral to a respiratory specialist.

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dc.contributor.author Beattie, S en
dc.contributor.author Stevens, WA en
dc.contributor.author Stevens, GN en
dc.contributor.author Kolbe, John en
dc.contributor.author Cox, B en
dc.date.accessioned 2012-05-01T03:51:12Z en
dc.date.issued 2009 en
dc.identifier.citation New Zealand Medical Journal 122(1294):33-41 08 May 2009 en
dc.identifier.issn 1175-8716 en
dc.identifier.uri http://hdl.handle.net/2292/17668 en
dc.description.abstract Background The previous study established that lung cancer patients in Auckland-Northland most commonly presented to secondary care through the emergency department (ED). Aim To further explore the characteristics and presentation of cases presenting through EDs in Auckland. Methods Data were collected for all lung cancer cases (2004) in Auckland that initially presented to secondary care via ED Results Of (478) lung cancer cases diagnosed in Auckland in 2004, 170 cases (36%) presented via ED. ED presentation varied with tumour stage (p<0.0005), ethnicity (p=0.01), and DHB (p=0.004). Of the patients presenting to ED for whom records were available (159; 94%): 107 (67%) had respiratory symptoms; 66 (42%) were GP-referred; of these, 22 had had a CXR; 6 (4%) were already under respiratory surveillance; and 11 (6%) had previously been seen by secondary care regarding the presenting symptoms. All cases (except 1) were admitted. GP referral varied across DHBs (p=0.04) and ethnic groups (p=0.02). Age, gender, and tumour type were not associated with ED presentation. Conclusion Lung cancer patients, especially those of Pacific ethnicity, commonly presented as emergencies, often by-passing primary care. This suggests barriers to, or within, primary care and further research is required to explore the reasons underlying these findings. en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Lung cancer patients in New Zealand initially present to secondary care through the emergency department rather than by referral to a respiratory specialist. en
dc.type Journal Article en
pubs.issue 1294 en
pubs.begin-page 33 en
pubs.volume 122 en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 19465945 en
pubs.author-url http://journal.nzma.org.nz/journal/122-1294/ en
pubs.end-page 41 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 101722 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19465945 en


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