Christopher Metcalfe
A novel remote assessment pathway to streamline the management of two-week-wait suspected head and neck cancer referrals: a prospective analysis of 660 patients.
Metcalfe, Christopher; Oh, Soo; Glazzard, Nina; Ross, Elizabeth; George, Ajith
Authors
Soo Oh
Nina Glazzard
Elizabeth Ross
Ajith George
Abstract
This study analyses outcomes for 660 patients managed via a novel telescopic pathway for suspected head and neck cancer referrals. Data were collected prospectively between January 2021 and December 2022, capturing all two-week-wait referrals triaged as low risk and managed via a nurse-led clinic for nasendoscopic examination and consultant-led remote assessment. In total, 660 patients were included. There were six head and neck cancers diagnosed, giving a conversion rate of 0.9 per cent. Mean (standard deviation) time to informing the patient whether they did or did not have cancer (28-day faster diagnosis standard) was 28.6 days (20.2), with no significant difference observed in patients imaged prior to review ( = 0.63). No missed cancers were detected in the follow-up period. Low-risk head and neck cancer referrals can be safely managed in a nurse-led clinic for recorded examination with asynchronous consultant-led management. Further work is required to ensure adherence to the new faster diagnosis standard.
Citation
Metcalfe, C., Oh, S., Glazzard, N., Ross, E., & George, A. (in press). A novel remote assessment pathway to streamline the management of two-week-wait suspected head and neck cancer referrals: a prospective analysis of 660 patients. Journal of Laryngology and Otology, 1-5. https://doi.org/10.1017/S002221512400015X
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 26, 2023 |
Online Publication Date | Jan 19, 2024 |
Deposit Date | Mar 11, 2024 |
Journal | The Journal of laryngology and otology |
Print ISSN | 0022-2151 |
Electronic ISSN | 1748-5460 |
Publisher | Cambridge University Press |
Peer Reviewed | Peer Reviewed |
Pages | 1-5 |
DOI | https://doi.org/10.1017/S002221512400015X |
Keywords | head and neck cancer, coronavirus disease 2019, technology, telemedicine |
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