FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2131389460> ?p ?o ?g. }

• W2131389460 endingPage "1113" @default.
• W2131389460 startingPage "1097" @default.
• W2131389460 abstract "Background Guidelines recommend mediastinal lymph node sampling as the first invasive diagnostic procedure in patients with suspected lung cancer with mediastinal lymphadenopathy without distant metastases. Methods Patients were a retrospective cohort of 15,316 patients with lung cancer with regional spread without metastatic disease in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) or Texas Cancer Registry Medicare-linked databases. Patients were categorized based on the sequencing of invasive diagnostic tests performed: (1) evaluation consistent with guidelines, mediastinal sampling done first; (2) evaluation inconsistent with guidelines, non-small cell lung cancer (NSCLC) present, mediastinal sampling performed but not as part of the first invasive test; (3) evaluation inconsistent with guidelines, NSCLC present, mediastinal sampling never done; and (4) evaluation inconsistent with guidelines, small cell lung cancer. The primary outcome was whether guideline-consistent care was delivered. Secondary outcomes included whether patients with NSCLC ever had mediastinal sampling and use of transbronchial needle aspiration (TBNA) among pulmonologists. Results Only 21% of patients had a diagnostic evaluation consistent with guidelines. Only 56% of patients with NSCLC had mediastinal sampling prior to treatment. There was significant regional variability in guideline-consistent care (range, 12%-29%). Guideline-consistent care was associated with lower patient age, metropolitan areas, and if the physician ordering or performing the test was male, trained in the United States, had seen more patients with lung cancer, and was a pulmonologist or thoracic surgeon who had graduated more recently. More recent pulmonary graduates were also more likely to perform TBNA (P < .001). Conclusions Guideline-consistent care varied regionally and was associated with physician-level factors, suggesting that a lack of effective physician training may be contributing to the quality gaps observed. Guidelines recommend mediastinal lymph node sampling as the first invasive diagnostic procedure in patients with suspected lung cancer with mediastinal lymphadenopathy without distant metastases. Patients were a retrospective cohort of 15,316 patients with lung cancer with regional spread without metastatic disease in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) or Texas Cancer Registry Medicare-linked databases. Patients were categorized based on the sequencing of invasive diagnostic tests performed: (1) evaluation consistent with guidelines, mediastinal sampling done first; (2) evaluation inconsistent with guidelines, non-small cell lung cancer (NSCLC) present, mediastinal sampling performed but not as part of the first invasive test; (3) evaluation inconsistent with guidelines, NSCLC present, mediastinal sampling never done; and (4) evaluation inconsistent with guidelines, small cell lung cancer. The primary outcome was whether guideline-consistent care was delivered. Secondary outcomes included whether patients with NSCLC ever had mediastinal sampling and use of transbronchial needle aspiration (TBNA) among pulmonologists. Only 21% of patients had a diagnostic evaluation consistent with guidelines. Only 56% of patients with NSCLC had mediastinal sampling prior to treatment. There was significant regional variability in guideline-consistent care (range, 12%-29%). Guideline-consistent care was associated with lower patient age, metropolitan areas, and if the physician ordering or performing the test was male, trained in the United States, had seen more patients with lung cancer, and was a pulmonologist or thoracic surgeon who had graduated more recently. More recent pulmonary graduates were also more likely to perform TBNA (P < .001). Guideline-consistent care varied regionally and was associated with physician-level factors, suggesting that a lack of effective physician training may be contributing to the quality gaps observed." @default.
• W2131389460 created "2016-06-24" @default.
• W2131389460 creator A5008575977 @default.
• W2131389460 creator A5010055934 @default.
• W2131389460 creator A5027028437 @default.
• W2131389460 creator A5035853822 @default.
• W2131389460 creator A5045529171 @default.
• W2131389460 date "2014-05-01" @default.
• W2131389460 modified "2023-10-14" @default.
• W2131389460 title "Determinants of Practice Patterns and Quality Gaps in Lung Cancer Staging and Diagnosis" @default.
• W2131389460 cites W19638059 @default.
• W2131389460 cites W1965681293 @default.
• W2131389460 cites W1976532259 @default.
• W2131389460 cites W1987951134 @default.
• W2131389460 cites W1989528357 @default.
• W2131389460 cites W1997342948 @default.
• W2131389460 cites W2004006979 @default.
• W2131389460 cites W2004265085 @default.
• W2131389460 cites W2031300874 @default.
• W2131389460 cites W2034156930 @default.
• W2131389460 cites W2055082779 @default.
• W2131389460 cites W2058839291 @default.
• W2131389460 cites W2069655233 @default.
• W2131389460 cites W2081709636 @default.
• W2131389460 cites W2081922320 @default.
• W2131389460 cites W2086230146 @default.
• W2131389460 cites W2095281784 @default.
• W2131389460 cites W2096512118 @default.
• W2131389460 cites W2098453079 @default.
• W2131389460 cites W2110784467 @default.
• W2131389460 cites W2118147646 @default.
• W2131389460 cites W2119805434 @default.
• W2131389460 cites W2132353025 @default.
• W2131389460 cites W2137992434 @default.
• W2131389460 cites W2140017465 @default.
• W2131389460 cites W2146614513 @default.
• W2131389460 cites W2170049625 @default.
• W2131389460 doi "https://doi.org/10.1378/chest.13-1628" @default.
• W2131389460 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4502717" @default.
• W2131389460 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24202651" @default.
• W2131389460 hasPublicationYear "2014" @default.
• W2131389460 type Work @default.
• W2131389460 sameAs 2131389460 @default.
• W2131389460 citedByCount "32" @default.
• W2131389460 countsByYear W21313894602015 @default.
• W2131389460 countsByYear W21313894602016 @default.
• W2131389460 countsByYear W21313894602017 @default.
• W2131389460 countsByYear W21313894602018 @default.
• W2131389460 countsByYear W21313894602019 @default.
• W2131389460 countsByYear W21313894602020 @default.
• W2131389460 countsByYear W21313894602021 @default.
• W2131389460 countsByYear W21313894602023 @default.
• W2131389460 crossrefType "journal-article" @default.
• W2131389460 hasAuthorship W2131389460A5008575977 @default.
• W2131389460 hasAuthorship W2131389460A5010055934 @default.
• W2131389460 hasAuthorship W2131389460A5027028437 @default.
• W2131389460 hasAuthorship W2131389460A5035853822 @default.
• W2131389460 hasAuthorship W2131389460A5045529171 @default.
• W2131389460 hasBestOaLocation W21313894602 @default.
• W2131389460 hasConcept C106131492 @default.
• W2131389460 hasConcept C121608353 @default.
• W2131389460 hasConcept C126322002 @default.
• W2131389460 hasConcept C126838900 @default.
• W2131389460 hasConcept C140779682 @default.
• W2131389460 hasConcept C142724271 @default.
• W2131389460 hasConcept C177713679 @default.
• W2131389460 hasConcept C2776256026 @default.
• W2131389460 hasConcept C2776313322 @default.
• W2131389460 hasConcept C2777405583 @default.
• W2131389460 hasConcept C2777714996 @default.
• W2131389460 hasConcept C2779013556 @default.
• W2131389460 hasConcept C2780182762 @default.
• W2131389460 hasConcept C2780379385 @default.
• W2131389460 hasConcept C2908861384 @default.
• W2131389460 hasConcept C31972630 @default.
• W2131389460 hasConcept C41008148 @default.
• W2131389460 hasConcept C71924100 @default.
• W2131389460 hasConcept C72563966 @default.
• W2131389460 hasConceptScore W2131389460C106131492 @default.
• W2131389460 hasConceptScore W2131389460C121608353 @default.
• W2131389460 hasConceptScore W2131389460C126322002 @default.
• W2131389460 hasConceptScore W2131389460C126838900 @default.
• W2131389460 hasConceptScore W2131389460C140779682 @default.
• W2131389460 hasConceptScore W2131389460C142724271 @default.
• W2131389460 hasConceptScore W2131389460C177713679 @default.
• W2131389460 hasConceptScore W2131389460C2776256026 @default.
• W2131389460 hasConceptScore W2131389460C2776313322 @default.
• W2131389460 hasConceptScore W2131389460C2777405583 @default.
• W2131389460 hasConceptScore W2131389460C2777714996 @default.
• W2131389460 hasConceptScore W2131389460C2779013556 @default.
• W2131389460 hasConceptScore W2131389460C2780182762 @default.
• W2131389460 hasConceptScore W2131389460C2780379385 @default.
• W2131389460 hasConceptScore W2131389460C2908861384 @default.
• W2131389460 hasConceptScore W2131389460C31972630 @default.
• W2131389460 hasConceptScore W2131389460C41008148 @default.
• W2131389460 hasConceptScore W2131389460C71924100 @default.
• W2131389460 hasConceptScore W2131389460C72563966 @default.
• W2131389460 hasIssue "5" @default.

• next