英国2018年与2014年的全国癌症诊断审计:一个比较分析
Ruth Swann1, Sean McPhail2, Gary A Abel3
1Cancer Research UK, London.
概括
在国家指南更新后,在英国观察到癌症诊断及时性的改善. 关键的变化包括更多的当日转诊和更少的转诊前咨询,提高了癌症诊断途径.
科学领域:
- 在瘤学瘤学.
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在初级保健中及时诊断癌症是提高质量的关键优先事项.
- 国家卫生和护理卓越研究所 (NICE) 的指导方针旨在改善疑似癌症转诊流程.
研究的目的:
- 评估癌症诊断过程中的变化及其及时性.
- 为了比较2015年NICE指南出版之前和之后的诊断途径.
主要方法:
- 在英语通用实践 (2014年和2018年) 中对癌症诊断的基于人口的临床审计.
- 患者特征的比较,转诊前的咨询,调查和转诊类型.
- 用于比较的描述性分析和回归模型.
主要成果:
- 同日转诊次数增加 (2018年为42.7%,2014年为37.7%),诊断间隔的中位数减少.
- 2018年,推前咨询 (18.8% vs 26.2%) 和紧急推 (13.4% vs 16.5%) 的减少较少.
- 更多地使用初级保健调查 (47.9%对45.4%) 和紧急转诊 (54.8%对51.8%).
结论:
- 在2014年至2018年期间,癌症诊断过程的实质性改善被注意到.
- 这些改进与2015年国家准则更新后的时期保持一致.
- 该研究强调了初级保健中癌症诊断途径的积极变化.
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