Pneumology Department, Marie Lannelongue Hospital, Paris Saint Joseph Hospital and Paris Saclay University, Le Plessis-Robinson, France; International Center for Thoracic Cancers (CICT), France.
Medical Imaging Department, Marie Lannelongue Hospital, Paris Saint Joseph Hospital and Paris Saclay University, Le Plessis-Robinson, France; International Center for Thoracic Cancers (CICT), France.
Clin Lung Cancer. 2023 Jul;24(5):453-458. doi: 10.1016/j.cllc.2023.03.006. Epub 2023 Mar 20.
Despite the increasing importance of digital resources in modern life over the past decades, little is known about the impact of internet-based solutions on patient's health. We aimed to study the potential benefit of a digital platform helping patients to deal with abnormal chest CT scan revealing possible lung cancer.
We set up a fast-track lung cancer diagnosis pathway through a secure online platform. Patient-generated information combined with online review of their imaging enables preplanning of further investigations ahead of clinical assessment. We compared outcomes of "self-referred" patients (patient group), who directly fill out the online questionnaire, to general practitioner-driven patients (GP group), who were referred by their GP.
From June 2021 to June 2022, we included 125 patients (61% males, median age 67 years, IQR 56.9-72.5): 41% in the patient group and 59% in the GP group. No difference was found between groups in terms of time from contact to first appointment (median 5 days in both groups, P = .6), percentage of pathways including prebooked tests (94% vs. 92%, P = .6), number of scheduled invasive procedures (median 1, IQR 1-2 vs. 2, IQR 1-2, P = .4) and in final cancer diagnosis (76% vs. 78%, P = .4).
A lung cancer diagnosis pathway directly accessible by patients through a secure online platform was feasible and as efficient as the usual general practitioner pathway. It demonstrated the benefit of leaning on new digital tools in order to answer to the new challenges of a patient-centered health care system.
尽管在过去几十年中，数字资源在现代生活中的重要性日益增加，但对于基于互联网的解决方案对患者健康的影响知之甚少。我们旨在研究帮助患者应对可能提示肺癌的异常胸部 CT 扫描的数字平台的潜在益处。
我们通过安全的在线平台建立了快速通道肺癌诊断途径。患者生成的信息与他们的影像学在线审查相结合，可在临床评估之前预先规划进一步的检查。我们比较了直接填写在线问卷的“自荐”患者（患者组）和由其全科医生转介的患者（GP 组）的结果。
从 2021 年 6 月至 2022 年 6 月，我们共纳入 125 名患者（61%为男性，中位年龄 67 岁，IQR 56.9-72.5）：患者组占 41%，GP 组占 59%。两组在从接触到首次预约的时间（中位数均为 5 天，P=0.6）、包括预约检查的途径比例（94%与 92%，P=0.6）、计划进行的侵入性操作数量（中位数 1，IQR 1-2 与 2，IQR 1-2，P=0.4）以及最终癌症诊断率（76%与 78%，P=0.4）方面均无差异。
通过安全的在线平台直接向患者开放的肺癌诊断途径是可行的，与常规的全科医生途径一样高效。它证明了借助新的数字工具来应对以患者为中心的医疗保健系统的新挑战的益处。
