S1068 Journal of Thoracic Oncology Vol. 14 No.

10S

bronchial obstruction 24(39.3%) had right main bronchial obstruction and

EP1.16-09 15(24.6%) had the tracheal obstruction. Most of patients 43(70.5%) had
Delays in Care of Lung Cancer: A Moroccan Public intraluminal obstruction and degree of obstruction were grade 4
Health Problem 39(63.9%). Pre-intervention ECOG 2-4 group were 23(37.7%), 24(39.3%)
and 14(23%) respectively. Mean pre- intervention ECOG was 2.9±0.8 After
N. Benchakroun, S. Ridai, Z. Bouchbika, H. Jouhadi, N. Tawfik,
rigid bronchoscopy with tumor debulking mean ECOG was decreased to
S. Sahraoui, A. Benider Radiation Oncology, CHU Ibn Rochd,
1.8 ±1.0. 46 of 64 (90.2%) had clinical improvement after successful
Casablanca/MA
procedure. 37 (72.5%) had 6-month survival and 33(64.7%) had 1-year
Background: For several years, lung cancer, which is responsible for one in survival after successful procedure, compared with 2(20%) and 1(10%) in
five cancer deaths, has been considered the leading cause of cancer death. In unsuccessful procedure. 43(95.6%) had opportunity to received other
Morocco, in 2018, 6488 new cases of lung cancer were reported for both treatment such as chemotherapy, targeted therapy, etc. after ECOG status
sexes and all ages with 22,9% of all new cases of male cancer (Globocan) It”s was improve
a real public health problem The delay between the different therapeutic
sequences has a real impact on survival, which makes it”s optimization a real
public health issue. The aim of this work was to describe the care pathway
for patients treated for lung cancer at the Mohamed VI Center, as well as the
different treatment delays in our context. Method: To do this, we conducted
a monocentric, retrospective study in patients treated for lung cancer
between January 2012 and November 2017 at the Mohamed VI Cancer
treatment Center. To study this period and obtain significant results, we
referred to the statistical rules and retained one month pey year, one year
out of two, for a total of six months spread between January 2012 and
November 2017 Using the oncology department’s database, we identified
all patients with histologically confirmed lung cancer and a usable archived
record that was summarized in a farm with pre-established responses
coded as numerical variables. The key point of this study was the study of
the time between the appearance of the first clinical signs and the initiation
of the different therapeutic sequences discussed in a multidisciplinary
meeting. Result: During the study period, 125 cases of lung cancer were
collected. The average age was 57,6 years The average consult time also
called patient time was 3.92 months. As for the delays related to the health
system there are: An average diagnostic time of 63,5 days A therapeutic
delay of 67,9 days on average An average overall delay of 216,3 days The
time to diagnosis was therefore close to that recommended by the littér-
ature, while the consultation, treatment and overall time to diagnosis were
longer which significantly affects the survival curve. Conclusion: In several
countries, delays in care and access to care services, considered as in-
dicators of system performance, have become a priority in public health
policies. The establishment of more specialized oncology and radiation
oncology centers should help to reduce them A subsequent reassessment
of these delays, after correction, will male it possible to assess the evolu-
tion of the quality of the managementof this cancet at the Mohamed VI
center. Keywords: Lung cancer, delays, access to care

EP1.16-10
Differentiation of Performance Status After Tumor
Debulking in Malignant Central Airway Tumor via
Rigid Bronchoscopy
P. Aungkajornkul,1 V. Wongsrichanalai,2 N. Prasongsook1
1
Pulmonary and Critical Care Devision, Phramongkutklao Hospital, Conclusion: Rigid bronchoscopy with tumor debulking improves per-
Bangkok/TH, 2Pulmonary and Critical Devision, Phramongkutklao formance status, increases survival and increases opportunity for other
Hospital, Bangkok/TH new multimodality treatment in cancer patients who had malignant
Background: Bronchogenic carcinoma patients have been suffered from central airway obstruction. Keywords: Malignant central airway
cancer and its complications. The aim of cancer treatment is for prolonged obstruction, tumor debulking, ECOG
survival and symptomatic control. Novel multimodality treatment can be
relieving symptoms and improve patients’ performance status (PS). Malig-
nant central airway obstruction is the most harmful complication that in- EP1.16-11
creases morbidity, mortality and decreases PS. Rigid bronchoscopy with Immunotherapy in NSCLC: Real World Experience in a
tumor resection plays pivotal roles for resolve these problems Method: Peruvian Population
Retrospective Observational study enrolled cancer patients who had been
T. Runciman,1 C. Aliaga,1 O. Rua,1 D. Ponce De Leon,2
suffered from malignant central airway obstruction that undergo Rigid
C. Carracedo Gonzales1 1Lima, Aliada, Lima/PE, 2Lima, Ricardo Palma,
bronchoscopy with tumor debulking in Phramongkutklao Hospital during
Lima/PE
January 2014 e October 2018 Result: 64 cancer patients were included in
this study. 37(60.7%) were older than sixty. 36 (59%) were male and 38 Background: Checkpoint inhibitors drugs, have achieved positive re-
(62.3%) had primary lung cancer in origin. 30 (49.2%) had left main sults above chemotherapy in 2nd line and 1st line for specific