Summary of question results
Total | Percentage | |
---|---|---|
What is your role? (n=65) | ||
Consultant physician | 53 | 82 |
Consultant surgeon | 1 | 2 |
Specialty trainee | 7 | 11 |
Specialty trainee (other specialty) | 0 | 0 |
Foundation trainee | 0 | 0 |
Physiotherapist | 1 | 2 |
Lung physiologist | 1 | 2 |
Respiratory nurse | 2 | 3 |
Where is your main place of work? (n=63) | ||
Secondary care—DGH | 30 | 48 |
Secondary care—teaching hospital | 33 | 52 |
Are you the COPD lead for your organisation? (n=64) | ||
Yes | 22 | 34 |
No | 42 | 66 |
I have referred a patient for consideration of LVRS within the past 12 months (n=63) | ||
Yes | 43 | 68 |
No | 18 | 29 |
Not applicable | 2 | 3 |
If ‘yes’, approximately how many patients have you referred for LVRS in the past 12 months? (n=45) | ||
1–3 | 35 | 78 |
4–6 | 6 | 13 |
More than 6 | 3 | 7 |
Not known | 1 | 2 |
I know how to refer patients for LVRS (n=63) | ||
Yes | 61 | 97 |
No | 1 | 2 |
Not sure | 1 | 2 |
Do you have a specific MDT meeting to discuss the management of patients with advanced COPD? (n=64) | ||
Yes | 18 | 28 |
No | 45 | 70 |
Not known | 0 | 0 |
Not applicable | 1 | 2 |
Does the thoracic surgical service you use have an MDT to discuss potential LVRS patients? (n=63) | ||
Yes | 34 | 54 |
No | 14 | 22 |
Not known | 14 | 22 |
Not applicable | 1 | 2 |
How far away is the nearest LVRS service? (estimate) (n=64) | ||
On site | 17 | 27 |
Less than 20 miles away | 26 | 41 |
Between 20 and 40 miles away | 8 | 12 |
Over 40 miles away | 12 | 19 |
Not known | 1 | 2 |
What do you estimate the 30 day mortality is following LVRS? (n=63) (%) | ||
0–5 | 33 | 52 |
6–10 | 9 | 14 |
11–15 | 1 | 2 |
>15 | 3 | 5 |
Not known | 17 | 27 |
What proportion of patients do you think would still be in hospital 30 days following LVRS? (n=65) (%) | ||
0–4 | 10 | 16 |
5–9 | 17 | 27 |
10–15 | 14 | 22 |
>15 | 6 | 9 |
Not known | 18 | 28 |
Which group of patients derive the most benefit from LVRS? (n=65) | ||
Homogeneous emphysema, low exercise capacity | 10 | 15 |
Homogeneous emphysema, high exercise capacity | 3 | 5 |
Heterogeneous emphysema, low exercise capacity | 41 | 63 |
Heterogeneous emphysema, high exercise capacity | 12 | 18 |
Not known | 3 | 3 |
CT scanning may be indicated for haemoptysis, recurrent exacerbations or to investigate hypoxia, looking at pulmonary arteries or for interstitial fibrosis. Excluding these specific indications, do you think a CT of the thorax is indicated routinely in patients with an FEV1 <50% predicted? (n=65) | ||
Strongly agree | 4 | 6 |
Agree | 17 | 26 |
Neither agree nor disagree | 15 | 23 |
Disagree | 25 | 38 |
Strongly disagree | 4 | 6 |
Various bronchoscopic techniques which are intended for lung volume reduction are being developed—which option best applies to your organisation? (n=63) | ||
We currently offer bronchoscopic lung volume reduction | 8 | 13 |
We intend to offer bronchoscopic lung volume reduction | 13 | 21 |
We have no plans to offer bronchoscopic lung volume reduction | 37 | 59 |
Not applicable | 3 | 5 |
Not known | 2 | 3 |
COPD, chronic obstructive pulmonary disease; DGH, district general hospital; LVRS, lung volume reduction surgery; MDT, multidisciplinary team.