2023 World Conference on Lung Cancer (Posters)-P1.28. Adherence to Post-treatment Surveillance Guidelines in Non-small Cell Lung Cancer - A Veteran’s Health Administration Cohort

P1.28. Adherence to Post-treatment Surveillance Guidelines in Non-small Cell Lung Cancer - A Veteran’s Health Administration Cohort - PDF(Abstract)

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This study aimed to evaluate the adherence to post-treatment surveillance guidelines in non-small cell lung cancer (NSCLC) using data from the Veterans Health Administration (VHA). The researchers analyzed data from veterans treated for non-metastatic primary NSCLC between 2008 and 2016 and retrieved demographic, clinical, and vital status information. A convenience sample of veterans who survived at least 6 months from definitive treatment was included in the study.<br /><br />The researchers examined patterns of post-treatment surveillance by analyzing radiology reports for image indication and modality. Guideline concordant surveillance was defined as CT-Chest within 120-270 days after the first day of treatment or last treatment with multimodality therapy. The study estimated the rates of adherence to the guidelines and identified predictors of guideline concordant care.<br /><br />The final cohort included 1,537 patients, with a median age of 66 years and a majority being current or former smokers. The results showed that only 17.4% of patients received guideline concordant surveillance, while 13.4% received non-concordant surveillance. Patients who received chemosurgery, radiationchemosurgery, or radiation alone were more likely to receive concordant surveillance compared to those who received surgery alone. There was no significant difference in surveillance rates between different time periods.<br /><br />In conclusion, this study found that fewer than 1 in 5 patients with NSCLC received guideline concordant surveillance imaging after treatment. Patients who underwent surgery as their sole treatment were less likely to receive recommended imaging compared to other treatment modalities. The researchers suggest that efforts should be made to improve surveillance rates and opportunities for at-risk groups.

Asset Subtitle

Ryan Randle

Meta Tag

Speaker Ryan Randle

Topic Local-Regional NSCLC

Keywords

post-treatment surveillance

non-small cell lung cancer

NSCLC

Veterans Health Administration

adherence

guidelines

radiology reports

CT-Chest

chemosurgery

treatment modalities