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Cutting cancer waiting times: streamlining cervical lymph node biopsy
G Dimbleby1, L Golding, O Al Hamarneh
1Department of Otolaryngology Head and Neck Surgery, Birmingham Heartlands Hospital, UK.
The Journal of Laryngology and Otology
|October 1, 2013
Summary
Implementing a referral proforma and coordinator significantly reduced cervical lymph node biopsy waiting times, improving patient care and adherence to cancer service guidelines.
Area of Science:
- Oncology
- Surgical Pathology
- Healthcare Management
Background:
- Enlarged lymph nodes necessitate diverse specialist consultations, often requiring biopsy for diagnosis.
- Timely diagnosis of lymphadenopathy is critical for effective patient management and treatment planning.
Purpose of the Study:
- To determine current department waiting times for cervical lymph node biopsy.
- To compare these waiting times against established national cancer services guidelines.
Main Methods:
- A retrospective audit analyzed patient waiting times (referral to biopsy) from May to December 2010.
- A standardized referral proforma and a dedicated coordinator were implemented.
- A prospective re-audit assessed waiting times from March to September 2011.
Main Results:
- Initial audit revealed median waiting times of 74 days, failing to meet national guidelines.
- Post-intervention, the median waiting time decreased significantly to 18 days.
- The proforma and coordinator role demonstrably improved efficiency.
Conclusions:
- A dedicated coordinator and standardized referral proforma effectively streamline cervical lymph node biopsy services.
- These interventions significantly reduce patient waiting times, aiding compliance with guidelines.
- Optimized referral pathways enhance patient care for lymphadenopathy.
