评估一种新的患者途径来管理症状性乳腺转诊 (蓝旗诊所):一项纵向观察性研究
Tje Hubbard1,2, X Liu1, M Sulieman1
1Royal Cornwall Hospitals NHS Trust, UK.
Annals of the Royal College of Surgeons of England
|July 25, 2023
概括
一个新的蓝旗诊所 (BFC) 路径用于表现乳腺症状 (EBS) 转诊是安全有效的. 这一途径改善了对紧急怀疑癌症 (USC) 转诊的2周等待 (2WW) 标准的遵守,优先考虑最有可能患有乳腺癌的患者.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于急需怀疑癌症 (USC) 的转诊人数增加,因此需要为表现乳腺症状 (EBS) 的转诊人数寻找新的途径.
- 为了管理EBS转诊,实施了蓝旗诊所 (BFC) 途径,与现有的红旗诊所 (RFC) 区别于USC转诊.
研究的目的:
- 评估EBS转诊的新BFC途径的安全性和有效性.
- 评估BFC路径对遵守USC转介的2周等待 (2WW) 标准的影响.
主要方法:
- 一个单一中心的纵向观察研究比较了两个时期:2019年5月2020年3月和2021年2月2022年1月.
- 暴露的乳腺症状 (EBS) 转诊是在蓝旗诊所 (BFC) 管理的,随后进行成像,而紧急疑似癌症 (USC) 转诊则使用红旗诊所 (RFC).
- 追踪了患者的结果,包括癌症诊断和症状间隔癌症率.
主要成果:
- 在9695个推中,1655个 (17%) 在BFC中进行了评估.
- 乳腺癌检测率在BFC中为0.97%,而在RFC中为8.2%.
- BFC途径显著改善了USC推2WW标准的3个月平均信任绩效,从8.5%提高到98.7% (第一期) 和30%提高到66% (第二期).
结论:
- 蓝旗诊所 (BFC) 路径用于表现乳腺症状 (EBS) 转诊是一种安全有效的管理策略.
- 实施BFC途径改善了对紧急怀疑癌症 (USC) 转诊的2周等待 (2WW) 目标的遵守.
- BFC 途径确保对患乳腺癌可能性最高的患者有效优先分配资源.
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