Outcomes
lung cancer
LUNG CANCER, SECONDARY
The primary outcome was time to lung cancer diagnosis or discharge from the lung cancer pathway. The reported primary outcome was a better end point than the planned outcome (time from performance of the CXR to treatment with intermediate time points/discharge for lung cancer) because the date of diagnosis is easier to define than a decision to treat, which is not always clear in clinical practice and may change where additional information, for example, about fitness or staging leading to a change in decision. The secondary outcomes were the measures of agreement with thoracic radiologists in attributes of the radiographer report and the number of urgent lung cancer referrals generated. Time to diagnosis and discharge and referral rates were also measured at NUH.A health economics analysis will be reported separately.