School of Nursing and Midwifery, College of Science Health and Engineering, La Trobe University, Melbourne, Victoria, Australia
Institute for Breathing and Sleep (IBAS), Melbourne, Victoria, Australia.
BMJ Open. 2022 Apr 7;12(4):e056895. doi: 10.1136/bmjopen-2021-056895.
Early diagnosis and reducing the time taken to achieve each step of lung cancer care is essential. This scoping review aimed to examine time points and intervals used to measure timeliness and to critically assess how they are defined by existing studies of the care seeking pathway for lung cancer.
This scoping review was guided by the methodological framework for scoping reviews by Arksey and O'Malley. MEDLINE, EMBASE, CINAHL and PsycINFO electronic databases were searched for articles published between 1999 and 2019. After duplicate removal, all publications went through title and abstract screening followed by full text review and inclusion of articles in the review against the selection criteria. A narrative synthesis describes the time points, intervals and measurement guidelines used by the included articles.
A total of 2113 articles were identified from the initial search. Finally, 68 articles were included for data charting process. Eight time points and 14 intervals were identified as the most common events researched by the articles. Eighteen different lung cancer care guidelines were used to benchmark intervals in the included articles; all were developed in Western countries. The British Thoracic Society guideline was the most frequently used guideline (20%). Western guidelines were used by the studies in Asian countries despite differences in the health system structure.
This review identified substantial variations in definitions of some of the intervals used to describe timeliness of care for lung cancer. The differences in healthcare delivery systems of Asian and Western countries, and between high-income countries and low-income-middle-income countries may suggest different sets of time points and intervals need to be developed.
早期诊断和缩短肺癌治疗各个步骤所需的时间至关重要。本范围综述旨在考察用于衡量及时性的时间点和时间段，并批判性地评估现有肺癌护理寻求途径研究中如何定义这些时间点和时间段。
本范围综述遵循 Arksey 和 O'Malley 的范围综述方法框架。在 1999 年至 2019 年期间，对 MEDLINE、EMBASE、CINAHL 和 PsycINFO 电子数据库进行了检索，以查找已发表的文章。在去除重复项后，所有出版物都经过标题和摘要筛选，然后进行全文审查，并根据选择标准将文章纳入综述。叙述性综合描述了纳入文章中使用的时间点、时间段和测量指南。
从最初的搜索中确定了 2113 篇文章。最后，有 68 篇文章符合纳入标准并进行数据图表制作。确定了 8 个时间点和 14 个时间段，这些是文章研究最多的最常见事件。纳入文章中使用了 18 种不同的肺癌护理指南来作为时间段的基准；所有指南均在西方国家制定。英国胸科学会指南是使用最频繁的指南（20%）。尽管亚洲国家的医疗体系结构存在差异，但亚洲国家的研究仍使用西方指南。
本综述确定了用于描述肺癌护理及时性的一些时间段的定义存在很大差异。亚洲和西方国家以及高收入国家和中低收入国家之间医疗保健提供系统的差异可能表明需要制定不同的时间点和时间段。
