Introduction of a novel telescopic pathway to streamline 2‐week‐wait suspected head and neck cancer referrals and improve efficiency: A prospective service evaluation

Autor: Christopher Metcalfe, Mehmet Dogan, Nina Glazzard, Elizabeth Ross, Ajith George
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology, Vol 7, Iss 1, Pp 117-124 (2022)
Druh dokumentu: article
ISSN: 2378-8038
DOI: 10.1002/lio2.721
Popis: Abstract Objectives This study summarizes the introduction of a novel telescopic pathway, which streamlines 2‐week‐wait suspected head and neck cancer referrals to our unit, describes the logistics of the pathway, and analyzes referral numbers and outcomes. We also discuss wider issues surrounding remote assessment in head and neck cancer. Methods Data were collected prospectively between January and May 2021, capturing all 2‐week‐wait referrals to our unit following the introduction of a telescopic pathway which utilized a nurse‐led clinic for nasendoscopic examination of selected patients and consultant‐led remote assessment using store and forward technology. Information on referral numbers, waiting times and outcomes was recorded. Results Three hundred and forty (185 high risk, 155 low risk) patients entered the telescopic pathway with the remaining 74 patients seen on the conventional standard of care pathway. Cancer conversion rates were 17%,
Databáze: Directory of Open Access Journals
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