Implementing a Cancer Fast-track Programme between primary and specialised care in Catalonia (Spain): a mixed methods study
2011

Cancer Fast-track Programme in Catalonia: A Study

Sample size: 56020 publication Evidence: moderate

Author Information

Author(s): Prades J, Espinàs J A, Font R, Argimon J M, Borràs J M

Primary Institution: Catalonian Cancer Plan, Duran i Reynals Hospital

Hypothesis

The Cancer Fast-track Programme aims to reduce the time between suspicion of cancer and the start of treatment.

Conclusion

The programme has contributed to speeding up diagnostic assessment and treatment of patients with suspicion of cancer.

Supporting Evidence

  • Half of all new patients with breast, lung, or colorectal cancer were diagnosed via the fast track.
  • Mean time from detection to treatment was 32 days for breast, 30 for colorectal, and 37 for lung cancer.
  • Professionals reported changes in conduct to prevent delays in cancer diagnosis.

Takeaway

This study shows that a special program in Catalonia helps doctors find and treat cancer faster, which is good for patients.

Methodology

The study combined quantitative analysis of hospital data with qualitative interviews of health professionals.

Potential Biases

Selection bias may have occurred as professionals were chosen based on recommendations from hospital managers.

Limitations

The study lacked a procedure for validating data generated by hospitals and did not include patients not in the fast-track program.

Participant Demographics

The study included 83 health professionals from 18 fast tracks across Catalonia.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/bjc.2011.308

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