Optimal care pathways for people with lung cancer - a scoping review of the literature

Otty, Zulfiquer, Brown, Amy, Sabesan, Sabe, Evans, Rebecca, and Larkins, Sarah (2020) Optimal care pathways for people with lung cancer - a scoping review of the literature. International Journal of Integrated Care, 20 (3). 14.

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Much of the existing work around implementation of cancer optimal care pathways (OCP) has either focused exclusively on the clinical elements of care or has targeted individual stages in the cancer trajectory, rather than using a patient-centred or service delivery lens to inform the integration of care across the continuum. This review aimed to identify and summarise the available literature on lung cancer OCP.


A scoping review was conducted, with literature across multiple databases and grey literature searched. Articles were included if the OCP was being used to manage adult patients with lung cancer and reported on either the development process and outcomes and/or barriers and facilitators associated with optimal care pathway development and/or uptake.


Of the 381 references screened, 32 articles were included. The lung cancer pathways reviewed varied significantly. A number of themes were identified including the development and implementation of the OCP; the use of quality indicators to audit the OCP; and studies on outcomes of the OCP incorporating timeliness of care delivery, patient experiences and health care utilisation and costs.


The limited number of relevant articles found in this review may suggest that an OCP for lung cancer is still in its preliminary stages across the broader health systems.

Item ID: 65982
Item Type: Article (Research - C1)
ISSN: 1568-4156
Keywords: Integrated care; Lung cancer; Care pathways; Scoping review
Date Deposited: 09 Feb 2021 23:44
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3211 Oncology and carcinogenesis > 321199 Oncology and carcinogenesis not elsewhere classified @ 50%
42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 50%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 35%
20 HEALTH > 2003 Provision of health and support services > 200399 Provision of health and support services not elsewhere classified @ 30%
20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 35%
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