Differential triage in the postmenopausal bleed clinic; getting it right the first time, effect on single cancer pathway.

Q3 Medicine

Post reproductive health Pub Date : 2025-09-01 Epub Date: 2025-07-19 DOI:10.1177/20533691251355846

Leena Gokhale, Chris Edwards, Tracey Jones

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引用次数: 0

Abstract

ObjectiveTo reduce waiting time in PMB clinics, and patient journey on Single cancer pathway.DesignDifferential triage based on risk stratification in USC PMB clinics. Patients with true PMB and with unscheduled bleeding on HRT with risk factors triaged to 2WW. Those with unscheduled bleeding on HRT without risk factors to 6WW clinic. Introduced from March 2024 onwards. Data analysed over 4 months.SettingOne stop PMB clinics, Large DGH in Newport, Wales Population: Aneurin Bevan Health board Hospitals with a population of 600,000.Main outcome measuresTime to first outpatient appointment.ResultsNine hundred and two referrals. 48.22% were not on HRT. 49.88 % were on HRT. 20.44% were on HRT with risk factors. The first outpatient appointment improved from 17.6% in April to 64.6% (p < .0001) in September. Patients breaching the Single Cancer Pathway went down from 11 in April to 2 in September. 88% patients discharged after the FOA. One hundred and ninety-two (21.28%) had a hysteroscopy polypectomy. Forty-four cancers in the true PMB group and 1 cancer in the HRT group. There was no difference in the average BMI between the cancer and benign patients. Patients with endometrial cancer were significantly older (p < .0001***).ConclusionDifferential triage has reduced the waiting times in PMB clinics.

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绝经后出血临床鉴别分诊第一次就做对了，对单一癌症途径的影响。

目的减少PMB门诊的候诊时间，减少患者在单一肿瘤通路上的路程。设计基于南加州大学PMB诊所风险分层的鉴别分类。真正的PMB患者在HRT中出现计划外出血，危险因素分类为2w。激素替代治疗中出现计划外出血且无危险因素者，请到6WW诊所就诊。从2024年3月起推出。数据分析超过4个月。设置一站式PMB诊所，大DGH在新港，威尔士人口：动脉瘤比凡健康委员会医院与60万人口。主要观察指标：首次门诊预约时间。结果9102例转诊。48.22%未接受激素替代疗法。49.88%接受激素替代疗法。20.44%有危险因素的患者接受激素替代治疗。首次门诊预约率由4月的17.6%提高到9月的64.6% （p < 0.0001）。突破单一肿瘤通路的患者从4月的11例下降到9月的2例，88%的患者在FOA后出院。192例（21.28%）行宫腔镜息肉切除术。真正的PMB组有44个癌症，HRT组有1个癌症。癌症患者和良性患者的平均BMI没有差异。子宫内膜癌患者年龄明显增大（p < 0.0001 ***）。结论鉴别分诊减少了PMB门诊的候诊时间。

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

Post reproductive health Medicine-Obstetrics and Gynecology

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Post Reproductive Health (formerly Menopause International) is a MEDLINE indexed, peer reviewed source of news, research and opinion. Aimed at all those involved in the field of post reproductive health study and treatment, it is a vital resource for all practitioners and researchers. As the official journal of the British Menopause Society (BMS), Post Reproductive Health has a broad scope, tackling all the issues in this field, including the current controversies surrounding postmenopausal health and an ageing and expanding female population. Initially this journal will concentrate on the key areas of menopause, sexual health, urogynaecology, metabolic bone disease, cancer diagnosis and treatment, recovering from cancer, cardiovascular disease, cognition, prescribing, use of new hormone therapies, psychology, the science of ageing, sociology, economics, and quality of life. However as a progressive and innovative journal the Editors are always willing to consider other areas relevant to this rapidly expanding area of healthcare.