93 Hyponatraemia in lung cancer: an audit of recognition and management

Standardised CXR rates varied widely between primary care practices and the odds of early death were highest in those practices which requested more CXRs. Conclusion: Early diagnosis of lung cancer hinges on timely recognition of clinical clues in at risk populations. Patients who die early are interacting with primary care in the run-up to diagnosis, suggesting potential missed opportunitiesto identify them earlier in the disease process. A blanket increase in CXRs at primary care level does not appear to be the answer to improving survival in the immediate post-diagnosis period, andfurther work needs to be done to establish the role of the CXR in the diagnostic pathway.