NHS Still Failing Lung Cancer Patients Say Experts, UK

Main Category: Lung Cancer
Article Date: 04 Nov 2009 - 2:00 PST

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The NHS is still failing lung cancer patients, according to the results of the first national review of lung cancer services, published this Monday.1 Despite headway in UK lung cancer prevention, disease awareness and screening, key areas such as diagnosis, treatment rates and access to specialists are still 'woefully inadequate' say the UK's leading lung cancer experts.

According to the United Kingdom Lung Cancer Coalition (UKLCC), one-third of patients still do not receive a biopsy to diagnose their condition, and thousands are denied life saving surgery due to lack of experienced specialists.1

"There are only 44 full-time equivalent specialist thoracic surgeons spread thinly over 240 multidisciplinary cancer teams across the country and many teams lack core members " says Dr Mick Peake, chair of the UKLCC's clinical advisory group and the NHS national clinical lead for lung cancer. "Alarmingly, patients who are fit for surgery are being turned down."

As well as tracking progress made since the launch of the first UK Lung Cancer Plan in 20072 - the report also maps out where priorities lie for the future.

"In some parts of the UK fewer than 10 percent of patients receive any form of treatment to halt the spread of their disease - that is to say chemotherapy, radiotherapy or surgery. We are calling for a 70 percent active treatment rate across the board, which would mean a massive reduction in the number of lung cancer deaths. Up to 3000 lives could potentially be saved each year as a result," adds Dr Peake.

The comprehensive review, based on feedback from clinicians at the frontline of lung cancer services, reinforces many of the shocking statistics revealed in the National Lung Cancer Audit published earlier this year.*

"We are still letting lung cancer patients down," says Dame Gill Oliver, chair of the UKLCC. "Our review shows there are still huge variations and vast inequalities in care across the country. We believe that, whatever the cause of their disease, patients deserve the best care and support."

Lung cancer is the UK's biggest cancer killer3; it kills around 34,500 people each year3, which is more than breast cancer, prostate cancer, bladder cancer and leukaemia combined.4 The disease accounts for one in 14 (7%) of all deaths in the UK,3 one in six of all cancer cases and one in four of all cancer deaths.5 It is reported that four people die from lung cancer in the UK every hour.3 Despite, being labeled a 'smoker's disease', one in eight people with lung cancer have never smoked.6

UK lung cancer survival rates compare poorly with the rest of Europe7 and, currently, just a quarter of people with lung cancer in England (25%) will live for a year and less than one in ten (7% in England) are still alive five years after diagnosis.8

The UKLCC'S vision is to double lung cancer survival during the next six to ten years, with the co-operation of health professionals, local primary care organizations and government.

"We know if we apply the best standards of care already being demonstrated in some parts of the country, we can double one year survival by 2015 and five year survival by 2020," says Dame Gill Oliver.

References

1. Reviewing the Lung Cancer Plan: Are we emerging from the shadow of lung cancer? UK Lung Cancer Coalition, November 2009

2. Lung Cancer Plan: improving lung cancer survival in the UK. UK Lung Cancer Coalition; November 2007

3. Figures from Cancer Research UK, available here

4. Figures from Cancer Research UK, available here.

5. Cancer Atlas of UK and Ireland, 2005. Chapter 13, p139

6. Peto, R et al. Mortality from smoking in developed countries 1950-2000 2004

7. Survival for eight major cancers and all cancers combined for European adults diagnosed in 1995��"99: results of the EUROCARE-4 study Franco Berrino, Roberta De Angelis, Milena Sant, Stefano Rosso, Magdalena The Lancet Oncology, Volume 8, Issue 9 , Pages 752 - 753, September 2007

8. Figures from Cancer Research UK, available here.

9. Ries LAG, Eisner MP, Kosary CL, et al. SEER Cancer Statistics Review, 1975-2001. Bethesda, MD: National Cancer Institute; 2004

Source
United Kingdom Lung Cancer Coalition