An Audit of Endobronchial Ultrasound Services for Detection of Lung Cancer in University Hospital Galway 2020

Title: An Audit of Endobronchial Ultrasound Services for Detection of Lung Cancer in University Hospital Galway 2020
Author(s): N Hyland, D Doyle, D Breen
Institution: University Hospital Galway
Poster: Click to view poster
Category: Lung Cancer and Bronchoscopy
Abstract: Endobronchial Ultrasound (EBUS) is an important method of detecting of lung malignancies. Efficient access to high quality EBUS services is important to reach targets set by the National Health Service (NHS) Lung Cancer Expert Group. This study was carried out as no such audit had previously been undertaken in University Hospital Galway.
A three-month period was examined from June to August 2020 with fifty patients included. Data was extracted from EBUS records and compared with Key Performance Indicators (KPIs) set by the NHS Lung Cancer Clinical Expert Group.
Results recorded were KPIs being met or not. The majority were met (13/17) including: Pathological results received within five days (>85), total pathology pathway time under ten days (>85%), pathological confirmation rate in advanced disease (>90%) and adequate tissue for genetic marker testing (>90%).
KPIs not met included: Procedure within seven days of referral (>85%), complication rate (<5%) and procedures with node stations inadequate (<10%).
Conclusions: The major shortcoming was the timing of procedure from referral indicating limitations in access. The complication rates were slightly above the KPI standards, but just two out of fifty total and no major complications were seen. Repeat audit is crucial to examine changes in the intervening time.