Diagnostic flow for all patients referred with non-specific symptoms of cancer to a diagnostic centre in Denmark: A descriptive study.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-01-05 DOI:10.1080/13814788.2023.2296108
Christina Sadolin Damhus, John Brandt Brodersen, Gunnar Lauge Nielsen
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引用次数: 0

Abstract

Background: Since 2012, Cancer Patient Pathways for Non-specific Symptoms and Signs of Cancer (NSSC-CPP) have been implemented in Scandinavia and UK.

Objectives: This study aimed to describe the diagnostic flow for all patients referred from 1 January to 30 June 2020 to the NSSC-CPP in the Diagnostic Centre in Farsø (DC-F), Denmark.

Methods: During the study period, we prospectively recorded information on the diagnostic flow, including: pathway trajectory, symptoms and findings leading to referral, diagnostic procedures and diagnoses at the end of DC Farsø work-up and within 6-months for all patients referred to the NSSC-CPP in DC Farsø using electronic patient files and the Danish National Patient Registry (DNPR).

Results: Of the 314 referrals to DC Farsø, 227 had diagnostic work-up in DC Farsø, the remaining were redirected to other CPPs (n = 11), outpatient clinics (n = 45) or redirected to general practice (n = 25). Of total referrals, 25 (8%) received a malignant diagnosis, 20 (6%) a non-malignant but clinically relevant diagnosis with initiation of treatment, 16 (5%) a non-malignant diagnosis but no treatment needed and in 253 (81%) referrals no severe new condition was diagnosed. Two (1%) additional malignancies were diagnosed within a 6-month follow-up period.

Conclusion: By tracking all patients referred to the NSSC-CPP in DC Farsø, including those redirected, this is the first study to describe the diagnostic flow for all patients referred to a diagnostic centre in Denmark. This knowledge is important for further organisation and planning of the NSSC-CPP.

丹麦一家诊断中心对所有因癌症非特异性症状转诊患者的诊断流程:描述性研究。
背景自2012年起,斯堪的纳维亚半岛和英国开始实施癌症患者非特异性症状和体征路径(NSSC-CPP):本研究旨在描述丹麦法尔瑟诊断中心(DC-F)从 2020 年 1 月 1 日至 6 月 30 日转诊至 NSSC-CPP 的所有患者的诊断流程:在研究期间,我们利用患者电子档案和丹麦国家患者登记处(DNPR)对所有转诊至丹麦法尔瑟诊断中心NSSC-CPP的患者的诊断流程信息进行了前瞻性记录,包括:导致转诊的路径轨迹、症状和检查结果、诊断程序以及法尔瑟诊断中心工作结束后6个月内的诊断结果:结果:在314名转诊至法尔瑟地区医疗中心的患者中,227人在法尔瑟地区医疗中心进行了诊断工作,其余患者被转至其他CPP(11人)、门诊诊所(45人)或转至全科诊所(25人)。在所有转诊患者中,25 人(8%)得到恶性诊断,20 人(6%)得到非恶性但与临床相关的诊断并开始治疗,16 人(5%)得到非恶性诊断但无需治疗,253 人(81%)未诊断出严重的新病症。在6个月的随访期内,又诊断出了2例(1%)恶性肿瘤:通过跟踪所有转诊至丹麦法尔瑟地区国家卫生服务中心-CPP的患者(包括转诊患者),该研究首次描述了所有转诊至丹麦诊断中心的患者的诊断流程。这些知识对于进一步组织和规划 NSSC-CPP 非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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