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Scorecard results

Indicator Range Score Justification

Lung cancer is a strategic priority

1 Operational,

comprehensive, up-to-

date national cancer

control plan

0 – 5 3  An operational National Cancer Strategy 2018-2022 was published by the Norwegian

Ministry of Health and Care Services in 2018.^4

 The National Cancer Strategy mentions an implementation plan.

 The National Cancer Strategy does not mention a funding source.

 A specific lung cancer control plan has not been published by the government or health

ministry.

2 Comprehensive clinical

guidelines for lung

cancer

0 – 6 6  The Directorate of Health published lung cancer guidelines in 2016 which were updated

in 2019.^5

 The guidelines mention screening and cover diagnosis, treatment, supportive / palliative

care and shared decision making.

Lung cancer is a public health issue

3 Tobacco control policies

and public health

measures

0 – 9 9  National objectives on tobacco control and a national agency for tobacco control exist.^6

 Norway is party to the World Health Organization’s Framework Convention on Tobacco

Control (FCTC).

 At least one national mass media campaign ran during the survey period (up to 2016).

 Advertising is banned on national TV and radio.

 Law mandates that health warnings appear on tobacco packages.

 National smoke free legislation exists for indoor offices, restaurants/cafes/pubs/bars and

public transportation.

4 E-cigarettes regulation

and public health

measures

0 – 4 4  E-cigarettes can be classified either as medicinal products or as tobacco surrogates.

Regulation bans the import and sale of nicotine-containing e-cigarettes, but if products are

classified as medicines, they may be imported for private use.

 The sale of e-cigarettes is prohibited to people under 18 years of age.

 Advertising and point of sale display advertising are banned.

 E-cigarette use in all public venues, transport vehicles, restaurants / bars and at schools is

prohibited under the smoking ban.

5 National policies

and programmes for

environmental exposure

control

0 – 2 1  There is no air quality strategy in Norway.

 The Norwegian government published its national strategy for reducing radon exposure in

2009.

6 Evidence-based

approach to lung cancer

screening

0 – 1 0  No data found to show that Norway has conducted a lung cancer screening study or trial.

7 Patient organisations

involvement in policy

development

0 – 3 1  An independent lung cancer patient organisation exists in Norway; however, it was not

involved in the lung cancer guideline development.

 There is no process for civil society involvement in Health Technology Assessments (HTAs).

Lung cancer is a race against time

8 Suspected lung cancer

patient diagnosis within

a specific time frame

0 – 2 2  Guidelines mention suspected lung cancer patients are to be fast tracked.

 Guidelines mention specific timeframe for diagnostic referral in suspected lung cancer

patients: a chest x-ray is to be done within 1 day.

9 Guidelines/ pathways for

rapid referral to quality

care

0 – 2 2  There is a pathway for rapid referral for lung cancer patients to secondary / tertiary care.

 Guidelines recommend that patients are treated by a multidisciplinary team.