Managing the 2-week wait for breast patients.

Annals of the Royal College of Surgeons of England
Rishi SinghalI S Paterson

Abstract

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. 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...Continue Reading

References

Feb 1, 1990·Breast Cancer Research and Treatment·L M NeaveR G Kay
Oct 18, 2000·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A R Khawaja, S M Allan
Mar 27, 2001·BMJ : British Medical Journal·A Radford

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Citations

Dec 15, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Crispin SchneiderRobert J Longman

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