Background:
The timely diagnosis and multidisciplinary management of cancer can be hindered in regional settings due to service limitations. Since early cancer detection is crucial for improving patient outcomes, understanding the barriers and facilitators in a regional context is of utmost significance.
Objectives:
Methodology:
From 11th February to 30th May 2023, the Latrobe Regional Health (LRH) cancer services reviewed all primary care referrals for suspected cancer within the RDC. Patients were thoroughly assessed during their initial visit, focusing on comorbidities and functional status. Diagnostic plans either stemmed directly from clinic evaluations or were discussed in multidisciplinary meetings (MDM) and radiology biopsies meeting with interventional radiologist. Data collection encompassed demographics, ECOG status, comorbidities, symptom duration, biopsy type, final diagnosis, and timing of treatment commencement.
Findings:
Of the 70 patients assessed by August 2023, 50 completed investigations. Of these, 62% (31/50) received a cancer diagnosis, with 97% (30/31) presenting with stage 4 cancer. Diagnoses comprised 39% lung cancer, 19% lymphoma, 13% upper GI, and other categories such as breast, genitourinary, melanoma, and colorectal. Additionally, 24% (12/50) were diagnosed with non-malignant conditions, four of which had lung nodules. 42%(22/50) of patients required PET scans for diagnosis.
Conclusion:
The RDC required advanced services beyond primary care capabilities, including PET scans and cancer MDMs. Predominantly diagnosed patients with lung cancer, non-Hodgkin lymphoma, and upper GI cancer. Over half of the patients Specialist cancer services required dedicated funding to fill this diagnostic gap.