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. 2012 Oct 16;9(1):42–50. doi: 10.1200/JOP.2012.000640

Table 1.

Patterns of Referral to Cancer Specialists and Treatments, by Stage

Stage, Referral, and Treatment No. %
Stage IIIA
    Referral type
        Oncology and radiation oncology 831 19.0
        Oncology and surgery (thoracic or general) 710 16.2
        Oncology, radiation oncology, and surgery 1,784 40.9
        Other specialty combinations* 917 20.9
        No referrals 129 3.0
        Total 4,371 100.0
    Treatments
        Chemotherapy and radiotherapy 1,513 34.6
        Chemotherapy and surgery 181 4.1
        Chemotherapy, radiotherapy, and surgery 269 6.2
        Other treatment combinations 1,849 42.3
        No treatment 559 12.8
        Total 4,371 100.0
Stage IIIB
    Referral type
        Oncology and radiation oncology 1,709 17.6
        Oncology, radiation oncology, and surgery 3,089 31.7
        Other specialty combinations 4,451 45.7
        No referrals 487 5.0
        Total 9,736 100.0
    Treatments
        Chemotherapy and radiotherapy 2,937 30.2
        Chemotherapy, radiotherapy, and surgery 187 1.9
        Other treatment combinations§ 4,525 46.5
        No treatment 2,087 21.4
        Total 9,736 100.0
Stage IV
    Referral type
        Oncology with or without other specialties 13,013 87.5
        Other specialties without oncology 1,268 8.5
        No referrals 589 4.0
        Total 14,870 100.0
    Treatments
        Chemotherapy alone 3,645 24.5
        Chemotherapy and radiotherapy 4,437 29.8
        Other treatment combinations 3,954 26.6
        No treatment 2,834 19.1
        Total 14,870 100.0
*

Includes referrals to a single specialty (oncology, radiation oncology, or surgery), radiation oncology plus general surgery or thoracic surgery.

Includes single modality treatments (chemotherapy alone, radiation alone, or surgery alone), or radiation plus surgery.

Includes referrals to a single specialty (oncology, radiation oncology, or surgery), oncology plus general or thoracic surgery, or radiation oncology plus general or thoracic surgery.

§

Includes single modality treatments (chemotherapy alone, radiation alone, or surgery alone), chemotherapy plus surgery, or radiation plus surgery.

Includes referrals to a single specialty other than oncology (radiation oncology, general surgery, or thoracic surgery), or radiation oncology plus general or thoracic surgery.

Includes radiation alone, surgery alone, chemotherapy plus surgery, radiation plus surgery, or chemotherapy plus radiation plus surgery.