Modelling lung cancer diagnostic pathways using discrete event simulation
Modelling lung cancer diagnostic pathways using discrete event simulation
The United Kingdom has one of the poorest lung cancer survival rates in Europe. In this study, to help design and evaluate a single lung cancer pathway (SCP) for Wales, existing diagnostic pathways and processes have been mapped and then modelled with a discrete event simulation. The validated models have been used to provide key performance indicators and to examine different diagnostic testing strategies. Under the current diagnostic pathways, the mean time to treatment was 72 days for surgery patients, 56 days for chemotherapy patients, and 61 days for radiotherapy patients. Our research demonstrated that by ensuring that the patient attends their first outpatient appointment within 7 days and streamlining the diagnostic tests would have the potential to remove approximately 11 days from the current lung cancer pathway resulting in a 21% increase in patients receiving treatment within the Welsh Government set target of 62 days.
Diagnostic pathway, cancer, discrete event simulation, performance indicators
94-104
England, Tracey
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Harper, Paul
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Crosby, Tom
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Gartner, Daniel
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Arruda, Edilson F.
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Foley, Kieran
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Williamson, Ian
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England, Tracey
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Harper, Paul
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Crosby, Tom
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Gartner, Daniel
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Arruda, Edilson F.
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Foley, Kieran
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Williamson, Ian
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England, Tracey, Harper, Paul, Crosby, Tom, Gartner, Daniel, Arruda, Edilson F., Foley, Kieran and Williamson, Ian
(2021)
Modelling lung cancer diagnostic pathways using discrete event simulation.
Journal of Simulation, 17 (1), .
(doi:10.1080/17477778.2021.1956866).
Abstract
The United Kingdom has one of the poorest lung cancer survival rates in Europe. In this study, to help design and evaluate a single lung cancer pathway (SCP) for Wales, existing diagnostic pathways and processes have been mapped and then modelled with a discrete event simulation. The validated models have been used to provide key performance indicators and to examine different diagnostic testing strategies. Under the current diagnostic pathways, the mean time to treatment was 72 days for surgery patients, 56 days for chemotherapy patients, and 61 days for radiotherapy patients. Our research demonstrated that by ensuring that the patient attends their first outpatient appointment within 7 days and streamlining the diagnostic tests would have the potential to remove approximately 11 days from the current lung cancer pathway resulting in a 21% increase in patients receiving treatment within the Welsh Government set target of 62 days.
Text
JOS(2021)
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Accepted/In Press date: 12 July 2021
e-pub ahead of print date: 2 August 2021
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Publisher Copyright:
© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords:
Diagnostic pathway, cancer, discrete event simulation, performance indicators
Identifiers
Local EPrints ID: 450424
URI: http://eprints.soton.ac.uk/id/eprint/450424
ISSN: 1747-7778
PURE UUID: 024fa694-d82f-4630-99e9-9c13ed47e510
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Date deposited: 28 Jul 2021 16:30
Last modified: 18 Jun 2024 02:00
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Contributors
Author:
Paul Harper
Author:
Tom Crosby
Author:
Daniel Gartner
Author:
Edilson F. Arruda
Author:
Kieran Foley
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