TY - JOUR T1 - Low histological confirmation rate in a District General Hospital (DGH)– exploring the reasons why JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2015.PA4226 VL - 46 IS - suppl 59 SP - PA4226 AU - Michelle Huxley AU - Sue Stubbs AU - Syed M.H. Kazmi Y1 - 2015/09/01 UR - http://erj.ersjournals.com/content/46/suppl_59/PA4226.abstract N2 - Introduction: The National LUCADA dataset standard for achieving histological confirmation is 75%. Following the 2013 LUCADA audit, our DGH fell below this standard with a score of 65.6%. We wanted to understand the reasons why histological confirmation was not achieved and to identify any discrepancies in the data recorded on the SOMERSET database.Method: Retrospective analysis of all diagnosed patients on the 2013 LUCADA database was carried out. There were inaccuracies noted in the recorded SOMERSET data that identified 35 (46%) patients with no histological confirmation. Following data correction a total of 30 (39%) patients were included in the audit as having no histological confirmation.Results: Our results are shown in Table 1 below: .View this table:Achieving histological diagnosis in lung cancerConclusion: The LUCADA dataset provides a measurable standard for lung cancer care. We fell below this standard in the 2013 audit, however clear reasons for not meeting this standard have been identified. 19 (25%) of patients either declined or were unfit for further diagnostic tests. A review of the 12 (15.8%) patients deemed unfit for investigations proved that this was due to late presentation or poor performance status. We are undertaking a programme of work with primary care to increase the number of patients whose symptoms are spotted and investigated earlier which will help to improve patient outcomes. ER -