2-Week wait referrals in suspected skin cancer: Does an instructional module for general practitioners improve diagnostic accuracy?

Shariff, Zakir; Roshan, Amit; Williams, Andrew M.; Platt, A.J.

doi:10.1016/j.surge.2010.03.004

Cited by 28 publications

(34 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The GP education intervention group included peer review and feedback (n = 4), [10][11][12][13] interventions which consisted of formal GP training (including continued professional development) (n = 17), [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] additional formal training and support for practitioners). The overall picture for interventions that aim to moderate referral processes by educating GPs is mixed, but some groups of interventions with more positive outcomes have been identified, including in particular peer review and feedback interventions (positive effects on referral, expenditure, and referral letter quality), as well as some elements of formal GP training (positive effects on referral rate, appropriate referrals, GP knowledge, consultation quality, and patient waiting time).…”

Section: Box 1 Main Search Strategymentioning

confidence: 99%

Referral interventions from primary to specialist care: a systematic review of international evidence

et al. 2014

View full text Add to dashboard Cite

BackgroundDemand management defines any method used to monitor, direct, or regulate patient referrals. Strategies have been developed to manage the referral of patients to secondary care, with interventions that target primary care, specialist services, or infrastructure. AimTo review the international evidence on interventions to manage referral from primary to specialist care. Design and settingSystematic review. MethodIterative, systematic searches of published and unpublished sources public health, health management, management, and grey literature databases from health care and other industries were undertaken to identify recent, relevant studies. A narrative synthesis of the data was completed to structure the evidence into groups of similar interventions. ResultsThe searches generated 8327 unique results, of which 140 studies were included. Interventions were grouped into four intervention categories: GP education (n = 50); process change (n = 49); system change (n = 38); and patient-focused (n = 3). It is clear that there is no 'magic bullet' to managing demand for secondary care services: although some groups of interventions may have greater potential for development, given the existing evidence that they can be effective in specific contexts.

show abstract

Section: Box 1 Main Search Strategymentioning

confidence: 99%

Referral interventions from primary to specialist care: a systematic review of international evidence

et al. 2014

View full text Add to dashboard Cite

show abstract

“…This audit confirmed the findings of another study designed to investigate the appropriateness of referrals under the two week referral system for suspected cancers in the UK. 6 This study found that the proportion of melanomas and squamous cell carcinomas correctly referred was around 20%, and this rate did not improve after the introduction of targeted education.…”

mentioning

confidence: 71%

Identifying melanomas in primary care: can we do better?

Newton-Bishop¹,

Lorigan

2012

BMJ

View full text Add to dashboard Cite

show abstract

“…The ability of GPs to diagnose skin cancer varies widely 706,707 and although several studies have evaluated the impact of educational interventions on improving diagnostic accuracy among primary health-care providers, these tend to be isolated interventions and have generally not been rigorously evaluated. 708 Educational interventions have been found to be of variable effectiveness 706,709 and modifying and maintaining clinical practice in the long term can be challenging. 710 Studies addressing educational interventions with outcomes that focus on performance changes are therefore required, but are outside the remit of the current study and the RCT we are proposing.…”

Section: Discussionmentioning

confidence: 99%

A programme of research to set priorities and reduce uncertainties for the prevention and treatment of skin disease

Kim

Batchelor

Bath‐Hextall

et al. 2016

Programme Grants Appl Res

View full text Add to dashboard Cite

Programme Grants for Applied ResearchISSN 2050-4322 (Print) ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10177. The contractual start date was in September 2008. The final report began editorial review in April 2014 and was accepted for publication in April 2016. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, CCF, NETSCC, PGfAR or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, ...

show abstract

2-Week wait referrals in suspected skin cancer: Does an instructional module for general practitioners improve diagnostic accuracy?

Cited by 28 publications

References 9 publications

Referral interventions from primary to specialist care: a systematic review of international evidence

Referral interventions from primary to specialist care: a systematic review of international evidence

Identifying melanomas in primary care: can we do better?

A programme of research to set priorities and reduce uncertainties for the prevention and treatment of skin disease

Contact Info

Product

Resources

About