Variable | Response options |
---|---|
Age (years) | 50, 60, 70, 80 |
Gender | Male, female |
Smoking status | Current lifelong smoker |
Quit smoking 5 years ago | |
Smoked for about 10 years in their youth | |
Never smoked | |
Symptoms | Cough and shortness of breath |
Haemoptysis | |
Unintentional weight loss | |
No respiratory symptoms – incidental finding on CT coronary angiogram | |
Lung nodule size (mm) | 4, 5, 7, 9, 12, 19, 25, 30 |
Lung nodule location | Upper lobe, not upper lobe |
Lung nodule spiculation | Yes, no |
Recommendation from reporting radiologist | No recommendation |
Specialist respiratory review | |
Urgent specialist respiratory review | |
Repeat CT chest as per existing guidelines, probably in 3–6 months |
Lung nodule case vignette | |
Your patient is a 50 year old man. He is a current, lifelong smoker. | |
He has a cough and worsening breathlessness. | |
A CT of his chest shows a 4 mm left upper lobe nodule with spiculation. | |
There is no recommendation provided by the reporting radiologist. | |
Does he need to be seen by a respiratory physician urgently (< 2 weeks) for suspected lung cancer? | |
Haemoptysis case vignette | |
Your patient is a 60 year old man. He has never smoked. | |
He has a small amount of haemoptysis. | |
A CT of his chest is normal. | |
There is no recommendation provided by the reporting radiologist. | |
Does he need to be seen by a respiratory physician urgently (< 2 weeks) for suspected lung cancer? | |
Lymphadenopathy case vignette | |
Your patient is a 70 year old woman. She quit smoking 5 years ago. | |
She has a cough and worsening breathlessness. | |
A CT of her chest shows enlarged subcarinal and hilar lymph nodes without a lung lesion. | |
There is no recommendation provided by the reporting radiologist. | |
Does she need to be seen by a respiratory physician urgently (< 2 weeks) for suspected lung cancer? |
Gender, n(%) | |
Male | 60 (39) |
Female | 92 (61) |
Age, n(%) | |
< 35 years | 20 (13) |
35–44 years | 29 (19) |
45–54 years | 42 (28) |
55–64 years | 31 (20) |
65–74 years | 26 (17) |
> 75 years | 4 (3) |
GP role, n(%) | |
Vocationally registered | 130 (86) |
Non-vocationally registered | 11 (7) |
Registrar | 9 (6) |
Other | 2 (1) |
Years worked in general practice, n(%) | |
< 5 | 24 (16) |
5–9 | 23 (15) |
10–19 | 30 (20) |
20–29 | 29 (19) |
30–39 | 28 (18) |
> 40 | 18 (12) |
Average number of hours worked per week, n(%) | |
< 20 | 28 (19) |
21–30 | 32 (21) |
31–40 | 58 (38) |
> 40 | 34 (22) |
Location of primary practice, n(%) | |
Capital city | 70 (46) |
Other metropolitan area* | 28 (19) |
Rural area# | 40 (26) |
Remote area^ | 14 (9) |