The ‘straight to test’ initiative reduces both diagnostic and treatment waiting times for colorectal cancer: outcomes after 2 years

Autor:	S. Mukherjee, G. Fountain, M. Stalker, J. Williams, P. J. Lunniss, Theresa Porrett
Rok vydání:	2009
Předmět:	Waiting time medicine.medical_specialty Referral Colorectal cancer business.industry Gastroenterology Retrospective cohort study medicine.disease Triage Patient pathway Surgery Internal medicine medicine Outpatient clinic Telephone triage business
Zdroj:	Colorectal Disease. 12:e250-e254
ISSN:	1462-8910
DOI:	10.1111/j.1463-1318.2009.02182.x
Popis:	Aim This study aimed to determine whether a ‘straight to test’(STT) strategy for 2-week wait (2wk) referrals for suspected colorectal cancer (CRC) reduced the time to diagnosis and treatment for patients with CRC. Method Consecutive 2-week referrals for suspected CRC over a period of 2 years from February 2007 were analysed. The times to the first diagnostic test and treatment and the cancers identified were analysed for those going to STT or the outpatient clinic. Results Of 662 patients having a 2wk referral, 519 (78.4%) were suitable for the hospital colorectal telephone triage service, 121 (18.3%) patients went to STT and 502 (75.8%) were seen in the clinic. Of these 401 (79.8%) underwent diagnostic tests and 25 (6.2%) had CRC and in 12 (2.9%) patients other cancers were detected. In the STT group, 7 (5.8%) patients were diagnosed with CRC. The median time to first diagnostic test was 12 days (IQR 9–13) in the STT pathway, compared with 23 days (17–31) in those seen in the clinic (P
Databáze:	OpenAIRE
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