Guideline for referral of patients with suspected lung cancer by family physicians and other primary care providers
Can Fam Physician. 2014 Aug;60(8):711-6, e376-82.
[Article in
English,
French]
Affiliations
- 1 Physician with the Sunnybrook Academic Family Health Team in Toronto, Ont, and is Regional Primary Care Cancer Lead for the Toronto Central Local Health Integration Network. [email protected].
- 2 Family physician in Lindsay, Ont.
- 3 Health Research Methodologist in the Department of Oncology at McMaster University in Hamilton, Ont, and for Cancer Care Ontario's Program in Evidence-based Care. [email protected].
- 4 Family physician with the North York Family Health Team in Ontario.
- 5 Family physician in Brampton, Ont.
- 6 Assistant Professor in the Department of Oncology at Queen's University in Kingston, Ont.
- 7 Respirologist in Toronto, Ont.
- 8 Associate Professor in the Department of Radiation Oncology at the University of Toronto and a staff radiation oncologist at Sunnybrook Odette Cancer Centre.
- 9 Associate Professor in the Division of Thoracic Surgery at the University of Toronto and Medical Director of Surgical Oncology at the Toronto East General Hospital.
- 10 Professor in the Department of Family Medicine at McMaster University and Past Provincial Primary Care Lead at Cancer Care Ontario.
Abstract
Objective:
The aim of this guideline is to assist FPs and other primary care providers with recognizing features that should raise their suspicions about the presence of lung cancer in their patients.
Composition of the committee:
Committee members were selected from among the regional primary care leads from the Cancer Care Ontario Provincial Primary Care and Cancer Network and from among the members of the Cancer Care Ontario Lung Cancer Disease Site Group.
Methods:
This guideline was developed through systematic review of the evidence base, synthesis of the evidence, and formal external review involving Canadian stakeholders to validate the relevance of recommendations.
Report:
Evidence-based guidelines were developed to improve the management of patients presenting with clinical features of lung cancer within the Canadian context.
Conclusion:
Earlier identification and referral of patients with lung cancer might ultimately help improve lung cancer morbidity and mortality. These guidelines might also be of value for informing the development of lung cancer diagnostic programs and for helping policy makers to ensure appropriate resources are in place.
Copyright© the College of Family Physicians of Canada.
MeSH terms
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Asbestos
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Canada
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Delayed Diagnosis / prevention & control
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Dyspnea / etiology
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Early Detection of Cancer
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Environmental Exposure / statistics & numerical data
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Family Practice / standards
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Hemoptysis / etiology
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Hoarseness / etiology
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Humans
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Lung Neoplasms / complications
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Lung Neoplasms / diagnosis*
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Lung Neoplasms / epidemiology
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Practice Guidelines as Topic
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Primary Health Care / standards*
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Pulmonary Disease, Chronic Obstructive / epidemiology
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Referral and Consultation / standards*
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Risk Assessment
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Smoking / epidemiology
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Tobacco Smoke Pollution / statistics & numerical data
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Tomography, X-Ray Computed
Substances
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Tobacco Smoke Pollution
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Asbestos