An observational study in Lung Cancer and Supraclavicular Lymphadenopathy, sponsored by University College Hospital Galway. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-11.
Sponsored by University College Hospital Galway · Observational
This is a study comparing routine inclusion of the lower neck in initial CT thorax in patients with suspected lung cancer to not including it. The study aims to assess whether such an intervention reduces the number of invasive investigations required to achieve a final diagnosis and clinical stage and whether it improves the detection of cervical lymph nodes involvement by lung cancer.
Two practices currently exist regarding the role of lower neck CT in patients with suspected lung cancer but with little evidence for either. Routine lower neck CT is potentially associated with benefits of higher detection of neck lymphadenopathy leading to better staging, less invasive procedure with positive implications for patients experience and care. The potential harms are delay in diagnosis due to false positive findings and radiation exposure. There is limited evidence in this area so this study will potentially provide evidence to inform health policy decisions based on the risk benefit balance.
This is a retrospective comparative study to assess the real-life impact of routine lower neck CT on the diagnostic and staging work up of patients with suspected lung cancer across two cohorts.
7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.
This study's planned enrollment of 164 is below the median of 189 across 1,514 observational studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →University College Hospital Galway is the lead sponsor of 22 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Patients initially seen with suspected lung cancer
Exclusion Criteria:
Cohort of patients with suspected lung cancer where the lower neck is not routinely included in CT
Diagnostic Test: lower neck CT
Cohort of patients with suspected lung cancer where the lower neck is routinely included in CT
Diagnostic Test: lower neck CT
Computerised tomography of the lower neck done as part of initial CT thorax and lower abdomen
Proportion of pathologically confirmed malignant supraclavicular lymph node
evidence of malignancy consistent with lung cancer on fine needle aspiration or core biopsy
Time frame: 60 days from initial CT
Number of diagnostic procedures performed per patient
number of invasive procedures used to obtain tissue to achieve diagnosis and/or stage
Time frame: 60 days from initial CT Thorax
Proportion of patients who underwent more than one diagnostic procedures
Time frame: 60 days from initial CT Thorax
Proportion of patients who underwent Endobronchial Ultrasound (EBUS)
Time frame: 60 days from initial CT Thorax
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
This study is status unknown, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.
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University College Hospital Galway