A simple tool for rapid access to a symptomatic breast clinic

Hdl Handle:
http://hdl.handle.net/10149/58239
Title:
A simple tool for rapid access to a symptomatic breast clinic
Authors:
Campbell, C. (Carol); Durning, P.; Cheema, I.; Naisby, G. P. (Geoffrey)
Affiliation:
University of Teesside. School of Social Sciences and Law; James Cook University Hospital. Middlesbrough.
Citation:
Campbell, C. et al. (2004) 'A simple tool for rapid access to a symptomatic breast clinic', European Journal of Surgical Oncology, 30 (3), pp.248-251.
Publisher:
Elsevier
Journal:
European Journal of Surgical Oncology
Issue Date:
Apr-2004
URI:
http://hdl.handle.net/10149/58239
DOI:
10.1016/j.ejso.2003.11.010
Abstract:
Aim: The introduction of a rapid referral system has led to an increase in the number of patients with benign disease using clinic appointments. This situation could delay those patients, who do have cancer but are not referred within these rapid referral guidelines. Existing guidelines fail to benefit those patients with lower risk symptoms. We reviewed prospective audit data from patients referred to a symptomatic breast unit with the aim of introducing a referral schema based upon symptoms, age and relative risk of cancer. Method: Demographic details, mode of referral, history and presenting symptoms were collected from each of the 2064 patients referred to the James Cook University Hospital (JCUH) breast unit from April 2001 to March 2002. Results: Odds Ratios (OR) from eight dependent variables gave a 30% improvement in prediction accuracy of breast cancer. From these findings a breast referral schema is presented that is designed to expedite referral from primary care of those patients most at risk. Conclusions: Use of the schema within primary care could lead to an increase in the early referral of patients with breast cancer.
Type:
Article
Keywords:
breast cancer; decision making; primary care; referral
ISSN:
0748-7983
Rights:
Author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 07/01/2010]
Citation Count:
1 [Scopus, 07/01/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorCampbell, C. (Carol)-
dc.contributor.authorDurning, P.-
dc.contributor.authorCheema, I.-
dc.contributor.authorNaisby, G. P. (Geoffrey)-
dc.date.accessioned2009-04-01T10:46:49Z-
dc.date.available2009-04-01T10:46:49Z-
dc.date.issued2004-04-
dc.identifier.citationEuropean Journal of Surgical Oncology; 30 (3): 248-251-
dc.identifier.issn0748-7983-
dc.identifier.doi10.1016/j.ejso.2003.11.010-
dc.identifier.urihttp://hdl.handle.net/10149/58239-
dc.description.abstractAim: The introduction of a rapid referral system has led to an increase in the number of patients with benign disease using clinic appointments. This situation could delay those patients, who do have cancer but are not referred within these rapid referral guidelines. Existing guidelines fail to benefit those patients with lower risk symptoms. We reviewed prospective audit data from patients referred to a symptomatic breast unit with the aim of introducing a referral schema based upon symptoms, age and relative risk of cancer. Method: Demographic details, mode of referral, history and presenting symptoms were collected from each of the 2064 patients referred to the James Cook University Hospital (JCUH) breast unit from April 2001 to March 2002. Results: Odds Ratios (OR) from eight dependent variables gave a 30% improvement in prediction accuracy of breast cancer. From these findings a breast referral schema is presented that is designed to expedite referral from primary care of those patients most at risk. Conclusions: Use of the schema within primary care could lead to an increase in the early referral of patients with breast cancer.-
dc.publisherElsevier-
dc.rightsAuthor can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 07/01/2010]-
dc.subjectbreast cancer-
dc.subjectdecision making-
dc.subjectprimary care-
dc.subjectreferral-
dc.titleA simple tool for rapid access to a symptomatic breast clinic-
dc.typeArticle-
dc.contributor.departmentUniversity of Teesside. School of Social Sciences and Law; James Cook University Hospital. Middlesbrough.-
dc.identifier.journalEuropean Journal of Surgical Oncology-
ref.assessmentRAE 2008-
ref.citationcount1 [Scopus, 07/01/2010]-
or.citation.harvardCampbell, C. et al. (2004) 'A simple tool for rapid access to a symptomatic breast clinic', European Journal of Surgical Oncology, 30 (3), pp.248-251.-
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