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- W2001610841 abstract "Clinical practice guidelines (CPGs) help practitioners make optimal use of appropriate resources and give guidance for disease specific care pathways. Once lung cancer is suspected, appropriate management and timely referrals by the primary care providers (PCPs) may impact clinical outcomes. This systematic review and CPG was developed for family physicians and other PCPs evaluating four aspects relevant to lung cancer suspicion. (1) The clinical features predictive of lung cancer. (2) The diagnostic accuracy of investigations for lung cancer. (3) Risk factors predictive of lung cancer. (4) Factors associated with delayed referrals attributable to both patients and providers. This guideline was intended to coincide with the introduction of Lung Cancer Diagnostic Assessment Programs (DAPs) that help fast track diagnostic procedures and consultative evaluation by a multidisciplinary thoracic oncology team with the assistance of a clinical navigator to help coordinate patient care. A unique challenge was to design a practical algorithm for PCPs. A review of the available evidentiary base for primary care referral for suspected lung cancer was done based on (1) published guidelines from the National Institute for Health and Clinical Excellence (NICE) 2005 and the New Zealand Guidelines Group (NZGG) 2009, (2) adaptation of existing guidelines from the American College of Chest Physicians (ACCP) Evidence-based Clinical Practice Guidelines, Australian National Health and Medical Research Council and the Scottish Intercollegiate Guidelines Network (SIGN) (3) consensus of the Lung Cancer Working Group in Ontario and (4) input from external review by practitioners in Ontario. The multidisciplinary Lung Cancer Working Group evaluated published guidelines and based recommendations on best available evidence. Where there was insufficient evidence to make a recommendation, a consensus recommendation was developed taking into consideration the local resources and accepted standard of care practice patterns in the province of Ontario. A unique feature was the development of a one page algorithm for quick and easy reference to guide practitioners to use appropriate diagnostic tests and to make early referral to the appropriate specialist for the suspicion of lung cancer. A useful one page algorithm has been designed for PCPs regarding patient management once lung cancer is suspected. The algorithm is the result of reviewing the best available evidence modified by local practice patterns based on experts in the management of lung cancer and relevant practitioner feedback. This algorithm is designed to be used in conjunction with available DAPs to coordinate and facilitate patient care." @default.
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- W2001610841 date "2012-11-01" @default.
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- W2001610841 title "Referral of Suspected Lung Cancer by Family Physicians and Other Primary Care Providers: A Clinical Practice Guideline" @default.
- W2001610841 doi "https://doi.org/10.1016/j.ijrobp.2012.07.1609" @default.
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