2018
DOI: 10.1177/2051415818794089
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Reducing delays in the diagnosis and treatment of muscle-invasive bladder cancer using simulation modelling

Abstract: Objective: To develop a simulation model to identify key bottlenecks in the bladder cancer pathway at Royal Cornwall Hospital and predict the impact of potential changes to reduce these delays. Materials and methods: The diagnosis and treatment of muscle-invasive bladder cancer can suffer numerous delays, which can significantly affect patient outcomes. We developed a discrete event computer simulation model of the flow of patients through the bladder cancer pathway at the hospital, using anonymised patient re… Show more

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Cited by 4 publications
(2 citation statements)
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“…Specifically with regard to the 18-week Referral to Treatment (RTT) standard used in the UK, simulation has been used to understand the optimal configuration of resources and demand management required to meet the RTT target for outpatient and admitted services in the obesity care setting (Tako et al, 2014). And in the urology setting, a five-week improvement in average waiting time was achieved following insights gleaned from a simulation model used to investigate bottlenecks in bladder cancer pathways (Chalk et al, 2019). While discrete event simulation is applied in these studies, other investigators have simulated elective queuing processes through system dynamics, e.g., in capturing the effect of working hours and treatment complexity in response to increasing waiting times in the radiotherapy setting (Morgan et al, 2016).…”
Section: Introductionmentioning
confidence: 99%
“…Specifically with regard to the 18-week Referral to Treatment (RTT) standard used in the UK, simulation has been used to understand the optimal configuration of resources and demand management required to meet the RTT target for outpatient and admitted services in the obesity care setting (Tako et al, 2014). And in the urology setting, a five-week improvement in average waiting time was achieved following insights gleaned from a simulation model used to investigate bottlenecks in bladder cancer pathways (Chalk et al, 2019). While discrete event simulation is applied in these studies, other investigators have simulated elective queuing processes through system dynamics, e.g., in capturing the effect of working hours and treatment complexity in response to increasing waiting times in the radiotherapy setting (Morgan et al, 2016).…”
Section: Introductionmentioning
confidence: 99%
“…Simulation modelling methods allow us to explore such 'what if' questions about a service by developing a model of the current system and then making changes in silico to predict the likely impact of proposed interventions. 5,6 In this paper, we describe the simulation model that we developed, the evidence generated by the model, and how this evidence was used to inform decisions about expansion of the AEC unit.…”
Section: Introductionmentioning
confidence: 99%