Telephone consultation for two-week-wait ENT and head and neck cancer referrals: initial evaluation including patient satisfaction

Rovira, Aleix; Brar, Savtaj; Munroe-Gray, Tiffany; Ofo, Enyinnaya; Rodríguez, Carlos; Kim, D

doi:10.1017/s0022215121003157

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…Within the articles about relocating from the hospital to eHealth, 23 articles out of 28 provided the preferences of respondents towards the location of care. In ten articles there was a preference for eHealth [ 28 , 32 – 34 , 42 , 44 – 46 , 50 , 53 ] and in six articles a preference for the hospital [ 26 , 31 , 36 , 39 , 43 , 48 ]. In four articles, citizens expressed a wish for a combination of eHealth and face to face contact [ 37 , 47 , 49 , 52 ].…”

Section: Resultsmentioning

confidence: 99%

Citizens’ perspectives on relocating care: a scoping review

Damen,

Van Tuyl,

Korevaar

et al. 2024

BMC Health Serv Res

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Background Healthcare systems around the world are facing large challenges. There are increasing demands and costs while at the same time a diminishing health workforce. Without reform, healthcare systems are unsustainable. Relocating care, for example, from hospitals to sites closer to patients’ homes, is expected to make a key contribution to keeping healthcare sustainable. Given the significant impact of this initiative on citizens, we conducted a scoping review to provide insight into the factors that influence citizens’ attitudes towards relocating care. Method A scoping review was conducted. The search was performed in the following databases: Pubmed, Embase, Cinahl, and Scopus. Articles had to include relocating healthcare and citizens’ perspectives on this topic and the articles had to be about a European country with a strong primary care system. After applying the inclusion and exclusion criteria, 70 articles remained. Results Factors positively influencing citizens’ attitudes towards relocating care included: convenience, familiarity, accessibility, patients having more control over their disease, and privacy. Factors influencing negative attitudes included: concerns about the quality of care, familiarity, the lack of physical examination, contact with others, convenience, and privacy. Furthermore, in general, most citizens preferred to relocate care in the studies we found, especially from the hospital to care provided at home. Conclusion Several factors influencing the attitude of citizens towards relocating care were found. These factors are very important when determining citizens’ preferences for the location of their healthcare. The majority of studies in this review reported that citizens are in favour of relocating care. In general citizens’ perspectives on relocating care are very often missing in articles. It was significant that very few studies on relocation from the hospital to the general practitioner were identified.

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Section: Resultsmentioning

confidence: 99%

Citizens’ perspectives on relocating care: a scoping review

Damen,

Van Tuyl,

Korevaar

et al. 2024

BMC Health Serv Res

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“…Most of the publications present European data ( 5 , 11 – 13 , 19 , 22 – 28 , 35 , 42 , 43 , 45 – 48 , 50 – 52 , 55 – 58 , 61 ) of which the majority were from the UK ( 11 – 13 , 19 , 22 – 24 , 26 – 28 , 43 , 45 – 47 , 49 – 51 , 55 , 56 , 58 , 61 ). Eight of the selected papers were from lower or middle income countries ( 18 , 20 , 21 , 30 , 31 , 33 , 34 , 36 ), seven from the USA ( 32 , 37 – 39 , 41 , 54 , 60 ), three from Canada ( 40 , 44 , 53 ) and one from Australia ( 59 ).…”

Section: Summarising the Resultsmentioning

confidence: 99%

Nomenclature of the symptoms of head and neck cancer: a systematic scoping review

Bradley,

Lee,

Albutt

et al. 2024

Front. Oncol.

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IntroductionEvolution of a patient-reported symptom-based risk stratification system to redesign the suspected head and neck cancer (HNC) referral pathway (EVEREST-HN) will use a broad and open approach to the nomenclature and symptomatology. It aims to capture and utilise the patient reported symptoms in a modern way to identify patients’ clinical problems more effectively and risk stratify the patient.MethodThe review followed the PRISMA checklist for scoping reviews. A search strategy was carried out using Medline, Embase and Web of Science between January 1st 2012 and October 31st 2023. All titles, abstracts and full paper were screened for eligibility, papers were assessed for inclusion using predetermined criteria. Data was extracted pertaining to the aims, type of study, cancer type, numbers of patients included and symptoms, presenting complaints or signs and symptoms.ResultsThere were 9,331 publications identified in the searches, following title screening 350 abstracts were reviewed for inclusion and 120 were considered for eligibility for the review. 48 publications met the eligibility criteria and were included in the final review. Data from almost 11,000 HNC patients was included. Twenty-one of the publications were from the UK, most were retrospective examination of patient records. Data was extracted and charted according to the anatomical area of the head and neck where the symptoms are subjectively and objectively found, and presented according to lay terms for symptoms, clinical terms for symptoms and the language of objective clinical findings.DiscussionSymptoms of HNC are common presenting complaints, interpreting these along with clinical history, examination and risk factors will inform a clinician’s decision to refer as suspected cancer. UK Head and Neck specialists believe a different way of triaging the referrals is needed to assess the clinical risk of an undiagnosed HNC. EVEREST-HN aims to achieve this using the patient history of their symptoms. This review has highlighted issues in terms of what is considered a symptom, a presenting complaint and a clinical finding or sign.

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“…Interestingly, the Covid-19 pandemic required many other institutions to adapt the cancer pathway in order to minimise face-to-face contact and AGPs. This included the use of risk-stratification tools, early radiological or cytological diagnostics, 13,14 telephone consultations, 15 and allied healthcare professionals. 16 Although early ultrasound and diagnostics were used, to our knowledge no formalised pathway has been proposed to allow efficient delivery of such a service.…”

Section: Discussionmentioning

confidence: 99%

Rethinking the ‘one-stop’ neck lump clinic: a novel pathway beyond coronavirus disease 2019

et al. 2023

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Objectives UK guidelines advocate ‘one-stop’ neck lump assessment for cancer referrals. This paper reports the pilot of a novel pre-clinic ultrasound pathway, presents outcomes, and discusses strengths and limitations in the context of the coronavirus disease 2019 pandemic. Methods Two-week-wait cancer referral patients with a neck lump were allocated a pre-clinic ultrasound scan followed by a clinic appointment. Demographic, patient journey and outcome data were collected and analysed. Results Ninety-nine patients underwent ultrasound assessment with or without biopsy on average 8 days following referral. Patients were followed up on average 14.1 days (range, 2–26 days) after initial referral. At the first clinic appointment, 45 patients were discharged, 10 were scheduled for surgery, 12 were diagnosed with cancer, 6 were referred to another specialty and cancer was excluded in 19 patients. Retrospectively, four ultrasounds were performed unnecessarily. Conclusion Pre-clinic ultrasound scanning is an alternative to the one-stop neck lump pathway. This study demonstrates fewer clinic visits, faster diagnosis and a low proportion of unnecessary scans, whilst minimising face-to-face consultations and aerosol-generating procedures.

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Telephone consultation for two-week-wait ENT and head and neck cancer referrals: initial evaluation including patient satisfaction

Cited by 7 publications

References 30 publications

Citizens’ perspectives on relocating care: a scoping review

Citizens’ perspectives on relocating care: a scoping review

Nomenclature of the symptoms of head and neck cancer: a systematic scoping review

Rethinking the ‘one-stop’ neck lump clinic: a novel pathway beyond coronavirus disease 2019

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