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Impact of Diagnostic Delays on Lung Cancer Survival Outcomes: A Population Study of the US SEER-Medicare Database.

Perrin E RomineQin SunCatherine R FedorenkoLily LiMariel TangKeith D EatonBernardo H L GoulartRenato G Martins
Published in: JCO oncology practice (2022)
Time to confirmation of NSCLC was inversely associated with OS in this US SEER population study. This association was lost when patients deceased within 6 months of diagnosis were excluded, suggesting that retrospective registry-claims databases may not be the optimal data source to study time to diagnosis as a quality metric because of the unaccounted confounding effects of tumor behavior. Prospective evaluations of clinically enriched data sources may better serve this purpose.
Keyphrases
  • small cell lung cancer
  • end stage renal disease
  • healthcare
  • chronic kidney disease
  • big data
  • electronic health record
  • prognostic factors
  • health insurance
  • quality improvement
  • adverse drug
  • tyrosine kinase