Assessment of frailty in lung cancer patients: is there concordance between lung cancer clinical nurse specialists (LCNS) and oncologists?
dc.contributor.author | Eaton, Marie A | |
dc.contributor.author | Neal, Hilary | |
dc.contributor.author | McEntee, Delyth | |
dc.contributor.author | Bostock, Layla | |
dc.contributor.author | Halkyard, Emma | |
dc.contributor.author | Bayman, Neil A | |
dc.contributor.author | Blackhall, Fiona H | |
dc.contributor.author | Fenemore, Jackie | |
dc.contributor.author | Gomes, Fabio | |
dc.date.accessioned | 2021-01-06T11:15:17Z | |
dc.date.available | 2021-01-06T11:15:17Z | |
dc.date.issued | 2020 | en |
dc.identifier.citation | Eaton MA, Neal H, McEntee D, Bostock L, Halkyard E, Bayman NA, et al. Assessment of frailty in lung cancer patients: is there concordance between lung cancer clinical nurse specialists (LCNS) and oncologists? Lung Cancer. 2020;139:S76-S | en |
dc.identifier.uri | http://hdl.handle.net/10541/623587 | |
dc.description.abstract | Introduction: The treatment landscape for lung cancer patients is rapidly evolving with multiple lines and combinations available. With an aging population, identifying and managing frailty is increasingly important. The Rockwood Clinical Frailty Scale (CFS) was introduced at this tertiary cancer centre in November 2018 to assess lung cancer patients at first appointment. The aim of this audit was to assess concordance of CFS scoring between oncologists and the LCNS. Methods: New lung cancer patients at this centre are routinely assessed by both oncologist and LCNS and their fitness level evaluation routinely includes the Rockwood CFS (1–8 scale). CFS 1–3 is considered fit and 4–8 vulnerable/frail. Over two months, the LCNS team independently scored each new patient and results were compared with the scores from oncologists. Results: The concordance rate between oncologists and LCNS was 31% of the 45 patients included. In 74% of cases, the LCNS assessed the patient as more frail with the mean CFS score for oncologists being 3.6 and 4.1 for LCNS (p=0.01). For those classed by oncologists as ‘vulnerable/frail’ there was no significant difference in the mean scores when compared with LCNS (4.9 and 5.1, respectively). For those classed by oncologists as ‘fit’ the mean score was significantly higher (more frail) when assessed by the LCNS (2.6 and 3.7; p=0.001). Patients receiving systemic treatment and classed as ‘fit’ by the LCNS had an admission rate of 33%, hotline use of 56% and an average 7 contacts with LCNS. Patients classed as ‘fit’ by the Clinicians had an admission rate of 47%, hotline use of 68% and an average 6 contacts with LCNS. Conclusion: LCNS identify a higher proportion of frail patients, particularly patients with a borderline fitness level. These results will be used in developing a triage tool for the LCNS service. | en |
dc.language.iso | en | en |
dc.title | Assessment of frailty in lung cancer patients: is there concordance between lung cancer clinical nurse specialists (LCNS) and oncologists? | en |
dc.type | Meetings and Proceedings | en |
dc.contributor.department | The Christie NHS Foundation Trust, Manchester | en |
dc.identifier.journal | Lung Cancer | en |
dc.description.note | en] |