Reducing surgical outpatient waiting is not the solution to meeting the 2005 colorectal cancer target

Autor: Christopher Hudson, G. N. Rao, P. S. Basnyat, R. Insall, N. Taffinder
Rok vydání: 2006
Předmět:
Zdroj: Colorectal Disease. 8:135-139
ISSN: 1463-1318
1462-8910
DOI: 10.1111/j.1463-1318.2005.00900.x
Popis: Objectives The majority of colorectal cancers (CRC) are not diagnosed through the Rapid access route (RAR) and follow-ups (FU) may prolong outpatient-waiting time for new referrals. The aim of this study was to assess the relative contributions of an efficient colorectal clinic and a stringent colonoscopy booking system on the total journey time for CRC. Patients and methods We reduced the number of follow-up appointments with the introduction of ‘Paper clinics’. The composition of the new clinic was determined by the known cancer yield through RAR and non-RAR route. A prospective analysis of clinics and CRC journey times was undertaken from November 2003 for 13 months, with the new outpatient clinic template introduced in December 2003. This coincided with a stringent policy on referral pattern for colonoscopy. Results In our hospital, only 4% of RAR yield CRC. Seventy-five percent of our CRC are referred through the non-RAR route. Eighty-one percent of follow-ups in a ‘paper clinic’ were discharged. A flexible template for the outpatient clinics, introduced a corresponding reduction in follow-up and increased urgent and routine slots. There was a progressive drop in the follow-up to new ratio and the waiting times for routine and urgent category decreased from a median of 15.9 and 3.4 weeks to 6.7 and 0.7 weeks, respectively (P
Databáze: OpenAIRE
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