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Table 3 Univariate associations between baseline demographics and interval durationsa

From: The time required to diagnose and treat lung cancer in Delhi, India: an updated experience of a public referral center

 

Evaluation durations

Treatment duration

Total duration

Symptom onset to definitive diagnostic study

Diagnostic study to confirmed diagnosis

Confirmed diagnosis to chemotherapy initiation

Symptom onset to chemotherapy initiation

Age

  < 60 years

105 [61–170.8]

 

6 [3–8]

 

19 [11–31]

 

127 [85.5–211]

 

  > 60 years

99 [53–167]

p = 0.312

6 [4–9]

p = 0.445

21 [13–34.8]

p = 0.081

125 [84–182]

p = 0.278

Sex

 Male

101 [55.8–170]

 

5 [3–8]

 

20 [11–32]

 

126 [84–194]

 

 Female

100 [55–166.5]

p = 0.644

6 [4–8.3]

p = 0.101

21.5 [11.3–36.8]

p = 0.516

127 [86–212.5]

p = 0.475

Living

 Within Delhi Region

107.5 [61–171]

 

5 [4–9]

 

19 [11–32]

 

130.5 [87–201]

 

 Outside Delhi

92.5 [52–167]

p = 0.332

6 [3–8]

p = 0.998

21 [11–34]

p = 0.643

125 [83.5–197.5]

p = 0.482

Income

 Above Poverty Lineb

99 [62–169]

 

6 [3–9]

 

21 [12–36]

 

131.5 [90–192]

 

 Below Poverty Line

97.5 [54.8–166.3]

p = 0.860

5 [3–7.3]

p = 0.091

16 [8.3–25.8]

p = 0.034

113 [68–216]

p = 0.247

Education

 Primary education or less

104 [64.5–171]

 

6 [3–9]

 

19 [11–35]

 

127 [83–215.5]

 

 Some High School or More

99 [52.8–173]

p = 0.521

5 [3–8]

p = 0.254

21 [12–31.3]

p = 0.851

127 [84.8–205.8]

p = 0.617

Smoking Status

 Never Smoker

107.5 [57.8–172.5]

 

6 [3–8]

 

21 [10–32.5]

 

136 [88.5–212.5]

 

 Current Smoker

91 [48.5–166.5]

 

6 [3–9]

 

19 [11–32]

 

122 [72.5–186]

 

 Previously Quit

108 [62–171]

p = 0.131

5 [3.8–8]

p = 0.729

22 [12–35]

p = 0.462

126 [90–188.3]

p = 0.140

ECOG Performance Status

 0 or 1

93 [51–167]

 

5 [3–8]

 

23 [13–35]

 

125 [90–195]

 

 2 or 3

99 [59.5–165.5]

 

6 [4–10]

 

19 [11–34]

 

126 [79.3–186]

 

 4 or 5

148 [90.5–199.3]

p = 0.275

4 [2.5–8.5]

p = 0.015

21.5 [15.8–67]

p = 0.140

156 [86.8–216.3]

p = 0.875

KPS Score

 KPS >/ 70

98.5 [52.8–168]

 

6 [3–8]

 

21 [12–33]

 

125 [84–193]

 

 KPS < 70

106 [70.3–170.3]

p = 0.291

6 [4–9]

p = 0.149

21 [12–40]

p = 0.628

127 [90–213.5]

p = 0.227

Previous ATT History

 Did not receive ATT

83 [50–159]

 

5 [3–8]

 

19 [11–31]

 

113 [75–180]

 

 Received ATT

150 [93–216]

p < .0001

5 [3–8]

p < 0.997

22 [11.5–36]

p = 0.093

187 [134–261.5]

p < .0001

Type of Definitive Biopsy

 Bronchoscopy

101 [53–167]

 

6 [4–9]

 

20 [12–32]

 

126 [80.5–195.8]

 

 CT-Guided Lung Biopsy

107 [72–171]

 

6 [4–8]

 

22 [12.5–42.5]

 

150 [96.3–227.3]

 

 US-Guided Lung Biopsy

83.5 [46.3–166]

 

6 [4–8]

 

20.5 [4.8–33.8]

 

90 [60–180]

 

 Thorascopy

75 [49–140]

 

5 [4–7]

 

22 [8–34]

 

103.5 [60–205]

 

 Surgical

83 [1 patient]

 

13 [1–26]

 

16 [1 patient]

 

N/A

 

 Other

88 [51–171]

p = 0.259

2 [1–6]

p = .0001

21 [9.5–30.5]

p = 0.480

124.5 [90–194]

p = 0.090

Histologic Diagnosis

 NSCLC

108 [65–172]

 

5 [3–8]

 

22 [12–35]

 

133 [90–210.5]

 

 SCLC

75 [42–122]

p < .0001

7 [4–10]

p < .0001

15 [9–23]

p < .0001

94.5 [65–157.3]

p < .0001

NSCLC Stage at Diagnosis

 Stage 1

90 [70.8–328.3]

 

5 [4–9]

 

63 [1 patient]

 

151 [1 patient]

 

 Stage 2

104.5 [74–172.3]

 

6 [3–7]

 

51 [23.5–86.5]

 

163 [132–261.5]

 

 Stage 3

109 [66–172]

 

5 [3–8]

 

21 [15–34]

 

157 [103–216]

 

 Stage 4

90.5 [53.8–167]

p = 0.151

5 [3–8]

p = 0.942

22 [11–34]

p = 0.027

126 [87–207.8]

p = 0.159

SCLC Stage at Diagnosis

 Limited

74.5 [45.3–132.5]

 

8 [5–12]

 

16 [7.5–25]

 

98 [73–163.5]

 

 Extensive

75 [41.3–124.8]

p = 0.616

7 [4–10]

p = 0.158

15 [9–23]

p = 0.944

98 [65–156]

p = 0.546

  1. ECOG Eastern cooperative oncology group, KPS Karnofsky performance status, ATT Anti-tuberculosis treatment, NSCLC non-small cell lung cancer, SCLC small cell lung cancer
  2. aAll durations were expressed as median days with inter-quartile range
  3. bThe poverty line defined by the World Bank is $1.90 US daily per capita