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Episode 227: What happens in general practice before an emergency lung cancer diagnosis?

Today, we’re speaking to Marta Berglund, a Research Assistant and PhD candidate at University College London.

Title of paper: Pre-diagnostic primary care consultations and imaging in emergency-diagnosed vs referred lung cancer patients

Available at: https://doi.org/10.3399/BJGP.2025.0369

It has been postulated that emergency diagnoses of cancer (which occurs frequently and confers a poorer prognosis) may relate to suboptimal diagnostic management in primary care, but evidence to support or refute this hypothesis is sparse. We found that emergency-diagnosed patients with lung cancer were less likely to present with relevant respiratory symptoms and had fewer chest imaging investigations before diagnosis compared to patients diagnosed via referred routes, indicating an important role of disease factors in emergency diagnosis.

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