The impact of the introduction of a fast track clinic on ovarian cancer referral patterns.
The impact of the introduction of a fast track clinic on ovarian cancer referral patterns.
复制标题
引入快速通道诊所对卵巢癌转诊模式的影响。
DOI：
10.1046/j.1365-2354.2003.00419.x
复制
发表时间：
2003
影响因子：
2.1
通讯作者：
David E. Parkin
中科院分区：
文献类型：
--
作者：
O. Mcnally;V. Wareham;D. Flemming;M. Cruickshank;David E. Parkin
The aim of this study is to review the referral patterns for ovarian cancer in the Grampian region of Scotland and assess the impact of a 'fast track' clinic on the patient journey. Population-based retrospective analysis of a gynaecological cancer database and patient case notes were used. After its inception, 13.5% of patients were referred through the fast track clinic and 83% were seen within 2 weeks. Thirty-six per cent of patients were admitted as emergencies, mainly surgical or medical. The median general practitioner-to-specialist time was 3 days (range 0-188 days). The median time to diagnosis prior to the fast track clinic was 23 days and 17.5 days after its introduction (P = 0.003). A population-based ovarian cancer referral pattern is presented. Median waiting times are short but do influence time to diagnosis as do referral through a non-cancer specialty and patient performance status. Rapid access through a gynae-oncology clinic has some impact but is underused.
