Outcome of two-week head and neck cancer pathway for the otolaryngology department in a tertiary centre
| Autor: | Bassem Mettias, Sithamparappillai Ashokkumar, A Charlton |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Waiting Lists Referral media_common.quotation_subject Hemorrhage Tertiary Care Centers Otolaryngology Predictive Value of Tests Excellence Throat medicine Sore throat Edema Humans Referral and Consultation Early Detection of Cancer Aged Retrospective Studies media_common Aged 80 and over Mouth Hoarseness business.industry General surgery Head and neck cancer Cancer Pharyngitis Retrospective cohort study General Medicine Middle Aged medicine.disease medicine.anatomical_structure Otorhinolaryngology Head and Neck Neoplasms Neoplasms Unknown Primary Female Interdisciplinary Communication Guideline Adherence medicine.symptom business |
| Zdroj: | The Journal of Laryngology & Otology. 135:869-873 |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | BackgroundThe two-week-wait head and neck cancer referral pathway was introduced by the Department of Health, and refined through National Institute for Health and Care Excellence guidelines which were updated in 2015.MethodsA retrospective study was conducted of two-week-wait referrals to out-patient ENT from January to June 2018. The analysis included demographics, referral symptoms according to National Institute for Health and Care Excellence 2015 guidelines, cancer pick-up rates and positive predictive values.ResultsA total of 1107 patients were referred for suspected head and neck cancer over six months, with 6 per cent diagnosed with cancer. Neck lump, persistent hoarseness and throat pain were the most common presenting symptoms. Neck lump had the highest positive predictive value, followed by oral swelling. Oral bleeding and persistent unilateral sore throat showed significant positive predictive values. Investigation for metastatic head and neck cancer of an unknown primary or the involvement of other multidisciplinary teams could hinder the achievement of a 62-day treatment target.ConclusionThe cancer pick-up rate from two-week-wait referrals is only 1.5 times higher than routine referrals. The ‘red flag’ symptoms given in the 2015 National Institute for Health and Care Excellence update would benefit from further review. |
| Databáze: | OpenAIRE |
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