Results Summary and Professional Abstract
|This project's final research report is expected to be available by July 2019.|
Results of This Project
Coordinated Treatment Planning Shows Promise for Patients with Lung Cancer
In an update to the first narrative below, researchers have found that with up-front treatment planning among the different specialists, patients get treatment that is more appropriate for their cancer’s severity.
Under One Roof: Pulling Specialists Together to Improve Lung Cancer Care
A narrative about Dr. Osarogiagbon's project to gather a team of specialists as part of a multidisciplinary clinic that provides highly complex care for lung cancer patients.
Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also assesses how the project addressed PCORI’s Methodology Standards. During peer review, experts read a draft report of the research and provide comments about the report. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. These reviewers cannot have conflicts of interest with the study.
The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve descriptions of the conduct of the study or to clarify the connection between results and conclusions. Sometimes, awardees revise their draft reports twice or more to address all of the reviewers’ comments.
Peer reviewers commented and the researchers made changes or provided responses. Those comments and responses included the following:
- Reviewers asked for a more thorough description of the process of care in the multidisciplinary care and the serial care models, and more explanation of how patients entered the models. The researchers provided additional details on how referral patterns and provider choice determined which model of care patients received and what types of care patients received under each model.
- Reviewers commented that the different stages of lung cancer are likely to need different types of care. For instance, stage IV patients were less likely to need surgery or radiation, and many more stage IV patients entered the serial care arm than the multidisciplinary care arm. The researchers agreed that it would be important to use disease stage as subgroups in future analyses of survival but that the data are not yet fully available to complete such analyses.
- The reviewers noted that the researchers overstated the success of multidisciplinary care in improving the quality and outcomes of lung cancer care. In response, the researchers clarified that multidisciplinary care was measurably linked to patient- and caregiver-reported outcomes but not to clinical outcomes, like survival rates.
Conflict of Interest Disclosures
View the COI disclosure form.