The impact of 2 weeks wait referral on survival of head and neck cancer patients

被引：2
|
作者：
Rovira, Aleix [1 ]
Russell, Beth [2 ]
Trivedi, Priyanka [3 ]
Ojo, Onaiho [3 ]
Oakley, Richard [1 ]
Byrne, Edie [1 ]
Daryanani, Avisha [1 ]
Van Hemelrijck, Mieke [3 ,4 ]
Simo, Ricard [1 ]
机构：
[1] Guys & St Thomas NHS Fdn Trust, Div Surg Oncol Head & Neck Surg, London, England
[2] Kings Coll London, Canc Epidemiol, London, England
[3] Kings Coll London, London, England
[4] Kings Coll London, Translat Oncol & Urol Res, London, England
来源：
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2023年 / 280卷 / 12期
关键词：
Head and neck cancer; Hospital referrals; Diagnosis; Early diagnosis of cancer; Cancer screening; Survival; SUSPECTED HEAD; 2-WEEK RULE; PATHWAY; DELAY; UK; GUIDELINES; DIAGNOSIS; AWARENESS; EUROPE;
D O I：
10.1007/s00405-023-08152-0
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
PurposeThis study aims to evaluate the association between 2 weeks wait referral and survival in the head and neck cancer.MethodsRetrospective cohort study of consecutively discussed new head and neck cancer patients at large United Kingdom Cancer Alliance including two tertiary referral hospitals and two district general hospital.ResultsA total of 276 cancer patients were included for analysis. Patients referred under the 2 weeks wait had were seen and diagnosed sooner from referral (p < 0.0001 and p < 0.0001 respectively). However, this did not translate into better survival outcomes. No survival differences were seen between those patients that were managed within the proposed cancer targets and those that were not.ConclusionsThe 2 weeks wait head and neck cancer pathway did not offer a survival advantage. Targeting the delay in referral as well as delay in treatment to prevent late-stage cancer presentation is paramount. Fulfilment of cancer time targets do not translate into better outcomes and should not be prioritised to clinical judgement.
引用
收藏
页码：5557 / 5564
页数：8
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