EP.WE.913Evaluation of upper GI cancer diagnosis in suspected patients referred for OGD directly by GP vs Two Week Referral pathways
| Autor: | Hugh Warren, Rudolf Zach, Ahmed Abdelwahed, Narayanan Vinod Kumar, Sarah Witting, Izabela Slezak |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | British Journal of Surgery. 108 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1093/bjs/znab308.105 |
| Popis: | Aim To assess whether the new direct pathway (requested by GP) has improved OGD accessibility and time of diagnosis for patients with suspected UGI cancer. The new system aimed to bypass a formal referral to UGI clinic. Methodology Retrospective study, compared two groups of patients (total 329). Group A (173 patients, TWW referral to UGI clinic who had endoscopy between March and May 2017), and Group B (156 patients, Direct access pathway by the GP to have the endoscopy between March and May 2018). inclusion criteria includes patients referred directly by the GP between March and May 2018, TWW patients referred March-May 2017. Patients who had OGD with suspected diagnosis other than UGI cancer were excluded. Data was compared in terms of gender, age, interval time between referral and OGD, and cancer findings. Findings Time between presentation and diagnosis in patients referred via Direct Access pathway was shown to be significantly shorter compared to patients admitted via TWW. The difference was 7 days in favor of the Direct Access pathway which was statistically significant (p value 0.001). Recommendations Direct access pathway has decreased the waiting time, expedited the management, potential money saved, more available clinic space and less administrative work. |
| Databáze: | OpenAIRE |
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