Table 8.
Prioritization of lung cancer patients |
Top 5 factors for triaging patients across all radiotherapy cases | ||
---|---|---|---|
Rank | Case∗ | Relative Priority Compared All Other Types Cancer Cases in Department∗∗ | |
1. | Stage III NSCLC | Very high/high (71% consensus) |
1. Potential for cure |
2. | LS-SCLC SCLC | Very high/high (78% consensus) |
2. Relative benefit of RT vs. other treatment options |
3. | Stage I NSCLC | High/average (near consensus: 65%) |
3. Active COVID-19 infection (absence thereof) |
4. | Palliative NSCLC | No consensus. Widely dispersed responses. | 4. Life expectancy |
5. | PORT NSCLC | Low/very low (68% consensus) | 5. Performance Status |
6. | SCLC PCI | Low/very low (81% consensus) |
The six cases were ranked, with 6 points given for a #1 ranking, 5 points for #2, etc, and the average number of points was determined. The average scores, in order of ranking as listed in the table, were 5.2, 4.9, 4.1, 3.0, 2.1 and 1.7, respectively.
Respondents were asked to prioritize each case as very high, high, average, low, or very low, corresponding to quintiles of priority (e.g. very high = top 20%, very low = bottom 20%), compared to all types of cancers treated in their department. Adjacent categories were combined to determine consensus.