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Peer-Reviewed Publication
BMJ Open Respir Res2026;13(1)August 14, 2026Journal Article

Diagnostic intervals and imaging use in lung cancer: a national real-world study in England.

Monica L Mullin1, Xiaocong Li Marston2, Hannah Matthews2, James Lavin3, Ricky Thakrar4
1Department of Respirology, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
2Evidence and Access, OPEN Health Communications LLP London, London, England, UK.
3HEOR, Intuitive Surgical Sàrl, Aubonne, Switzerland James.lavin@intusurg.com.
4University College London Hospitals NHS Foundation Trust, London, England, UK.

Abstract

BACKGROUND: Timely diagnosis is critical for improving lung cancer outcomes, yet diagnostic pathways in England remain complex and variable. Real-world evidence examining imaging use, delays and emergency care during the diagnostic interval is limited. METHODS: We conducted a national retrospective cohort study using linked Hospital Episode Statistics and Diagnostic Imaging Dataset for adults new…

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