Singhal, Rishi and Marudanayagam, Ravi and Balasubramanian, Balapathiran and Paterson, I S (2008) Managing the 2-week wait for breast patients. Annals of the Royal College of Surgeons of England, 90 (1). pp. 69-71. ISSN 1478-7083.Full text not available from this repository. (Request a copy)
Published data suggest that the 2-week wait system and triple assessment at one fast-track clinic visit is an out-dated method of capturing disease from a referral population. These studies report up to 32% of breast cancer coming from routine referrals. It has been recommended, therefore, that all breast referrals should be seen within 2 weeks. The sheer volume of referrals are likely to prevent this target being achieved. The aim of this study was to analyse the performance of our fast-track system.
PATIENTS AND METHODS
The Birmingham Heartlands and Solihull fast-track clinics were set up in 1999 with a prospective audit system. The data from this audit were retrospectively analysed and cross-referenced with the cancer data base to determine the referral origin of breast cancers from November 1999 to February 2005.
A total of 14,303 (fast-track, n = 6678; routine referral, n = 7625) patients were seen over a 5-year period. Overall, 1095 cancers (91.8% of the total) came from the fast-track clinics which had a pick-up rate of 16.4% compared with 98 cancers (8.2% of the total) and a pick-up rate of 1.3% for routine referrals (P < 0.001). The appropriateness of fast-track referral was also analysed which showed that 14.4% of cancers were detected if the referral criteria were met compared to 0.55% if they were inappropriate (P < 0.001).
The traditional fast-track, triple assessment breast clinic is an efficient and well-structured way of diagnosing disease. We recommend that the two system referral pattern should continue.
WP Gynaecology. Women’s health
|Divisions:||Planned IP Care > General Surgery
Womens and Childrens
|Depositing User:||Sophie Rollason|
|Date Deposited:||17 Jun 2014 10:42|
|Last Modified:||17 Jun 2014 10:42|
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