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Lung Diagnostic Assessment Program

What is a lung diagnostic assessment program (lung DAP)?

The lung DAP is a joint program, between the Grand River Regional Cancer Centre (GRRCC), Grand River Hospital (GRH) and St. Mary’s General Hospital (SMGH), designed to shorten wait times for patients with suspected lung cancer. The goal of the lung DAP team is to: 

  • offer a coordinated approach to assessing and diagnosing lung cancer at the earliest possible phase of a patient’s cancer journey

  • decrease anxiety related to wait times

  • eliminate many visits to practitioners or health care facilities

  • provide ongoing psychosocial support throughout the diagnostic process 

The lung DAP offers an interdisciplinary team approach to assessing and diagnosing patients. The lung DAP assesses the need for additional patient/family support and facilitates access to institution/community support care services as required. The first visit is a multidisciplinary consulation.  Please note biopsies are not performed at the first visit.  

 

Who should be referred?
Patients with an abnormal chest x-ray or CT scan that reports a suspicion of malignancy. This program is not for urgent or medically unstable referrals.  


How can I refer?

To ensure the lung DAP is the right program for your patient, please review the imaging results with the Cancer Care Ontario Lung Cancer Disease Pathway Map (opens as PDF) and the Fleischner Criteria (opens as PDF) below.  Doctors/nurse practitioners are asked to order a CT chest scan at the same time as submitting the lung DAP referral form.  

 

Below are the guidelines for your reference:

We will require a health history, medication list, as well as relevant reports to help expedite this process. 

  

Who is on the support care team?

The lung DAP team includes a thoracic surgeon, respirologist, nurse navigator and a clinical secretary.


Patients will see all or some of the members of the team as necessary and other members of the interdisciplinary team may be involved to provide ongoing psychosocial, physical and spiritual support. The lung DAP team has built a strong relationship with the diagnostic imaging departments at Grand River and St. Mary’s General Hospitals to expedite necessary testing.


Patient cases may be reviewed at a mutlidisciplinary cancer conference, to determine the most appropriate course of action and best diagnostic approaches.

For more information, please contact 519-749-4370 ext. 5458.


Where is the lung DAP located?

It is located at the GRRCC, at 835 King Street West in Kitchener.

 

Note: Patients are seen in an ambulatory clinic; if your patient is admitted to the hospital, please call St. Mary's General Hospital (519-744-3311) and ask to speak to the respirologist on call. 

 
 
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