Immediate reporting of chest X-rays referred from general practice by reporting radiographers

Impact of radiographer immediate reporting of chest X-rays from general practice on the lung cancer pathway

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN21818068

Enrollment

4000

Registered

2017-06-20

Start date

2017-07-01

Completion date

Unknown

Last updated

2022-11-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Specialty: Health services and delivery research, Primary sub-specialty: Health Services and Delivery Research

Interventions

Participants are randomly allocated to one of two groups using block randomisation at session (half day level). Group 1: Participants receive immediate reporting of chest X-rays refer

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patients referred for a chest X-ray from general practice 2. Over 16 years

Exclusion criteria

Exclusion criteria: 1. Active diagnosis of lung cancer 2. Aged under 16 years 3. Chest X-rays referrals from any other practitioner (Emergency Department, Inpatient, Outpatient)

Design outcomes

Primary

Measure	Time frame
Time (in days) to decision to treat (with intermediate time points) for lung cancer or discharge from the lung cancer pathway is measured using patient records at the time where there is a decision to treat or to be discharged from the lung cancer pathway.	—

Secondary

Measure	Time frame
1. Number of CT scans requested is measured using the number of CT chest scans through Radiology Information System at study completion 2. Survival is measured using aggregate data from cancer waiting time reporting at six and 12 months 3. Emergency admissions are measured using data from cancer waiting time reporting at study completion 4. Performance status is measured using data from cancer waiting time reporting at time of decision to treat 5. Number of urgent respiratory cancer referrals are measured from respiratory department records at study completion 6. Relative accuracy and usefulness of chest X-rays reporting by radiographers and consultant radiologists are measured using index diagnosis of thoracic radiologist and/or CT chest within 2 weeks of chest X-ray 7. Number of first 2WW appointments with all radiology results measured using clinician recorded data at time of appointment 8. Cost-effectiveness is measured using QALYS (Quality adjusted life years) at study completion 9. Patient satisfaction is measured using patient questionnaires at two weeks after chest x-ray	—

Measure

Time frame

1. Number of CT scans requested is measured using the number of CT chest scans through Radiology Information System at study completion 2. Survival is measured using aggregate data from cancer waiting time reporting at six and 12 months 3. Emergency admissions are measured using data from cancer waiting time reporting at study completion 4. Performance status is measured using data from cancer waiting time reporting at time of decision to treat 5. Number of urgent respiratory cancer referrals are measured from respiratory department records at study completion 6. Relative accuracy and usefulness of chest X-rays reporting by radiographers and consultant radiologists are measured using index diagnosis of thoracic radiologist and/or CT chest within 2 weeks of chest X-ray 7. Number of first 2WW appointments with all radiology results measured using clinician recorded data at time of appointment 8. Cost-effectiveness is measured using QALYS (Quality adjusted life years) at study completion 9. Patient satisfaction is measured using patient questionnaires at two weeks after chest x-ray

—

Countries

England, United Kingdom

Contacts

Public ContactNick Woznitza

nicholas.woznitza@nhs.net+44 208 510 5315

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 8, 2026