Collaboration between an NHS University Teaching Hospital and independent hospital to maintain CT colonography service provision during the 2020 COVID-19 pandemic.

BJR open Pub Date : 2021-11-24 eCollection Date: 2021-01-01 DOI:10.1259/bjro.20210025
Paul Holland, Deborah De Abreu, Yutaro Higashi, Christopher Gd Clarke
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引用次数: 0

Abstract

Our trust performed CTCs at 93% of the capacity of the previous year, scanning 1265 patients in 2020, compared with 1348 in 2019. We describe the changes made to our service to achieve this, which included collaboration with the colorectal surgical team to prioritise existing CTC patients according to faecal-immunochemical tests and full blood count results, and the associated challenges which included image transfer delays and patient attendance for scans. Furthermore, the endoscopy and radiology services used the opportunity created by co-location at the same hospital site to provide a same day incomplete colonoscopy and staging service for optically confirmed cancers. Collaboration between the NHS and independent sector allowed us to achieve continuity of service provision during the height of the COVID-19 pandemic without substituting unprepared CT abdomen and pelvis instead of the more sensitive CTC.

Abstract Image

NHS大学教学医院与独立医院合作,在2020年COVID-19大流行期间维持CT结肠镜检查服务的提供。
我们的信托机构以上一年容量的93%执行了ctc, 2020年扫描了1265名患者,而2019年为1348名。我们描述了为实现这一目标而对我们的服务所做的改变,其中包括与结肠直肠外科团队合作,根据粪便免疫化学测试和全血细胞计数结果优先考虑现有的CTC患者,以及相关的挑战,包括图像传输延迟和患者参加扫描。此外,内窥镜检查和放射学服务利用同一医院地点的共同位置所创造的机会,为光学确认的癌症提供同一天的不完全结肠镜检查和分期服务。NHS与独立部门之间的合作使我们能够在COVID-19大流行高峰期实现服务提供的连续性,而无需替换未准备的CT腹部和骨盆而不是更敏感的CTC。
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