Do Differences in Data Reporting Contribute to Variation in Lung Cancer Survival?

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Abstract
The dismal long-term survival rates of lung cancer patients in the United Kingdom have been the subject of considerable debate over the last decade ( 1 , 2 ) . Indeed, data for lung cancer patients in the United States suggest that American patients have comparatively better long-term survival, leading many health professionals and government bodies in the United Kingdom to attempt to identify and address possible reasons for the marked differences ( 3 , 4 ) . Differences in public awareness of the symptoms of lung cancer, the time taken for diagnostic tests and institution of treatment, and the frequency of curative procedures could all be potential explanations for differences in mortality. However, there has been little comment as to whether differences in reporting of lung cancer mortality data may also be implicated.

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