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SHR Neuro Krebs Kardio Lipid

Smolle, MA; Leithner, A; Grimer, RJ.
Evaluating the British sarcoma referral form.
Ann R Coll Surg Engl. 2015; 97(6):434-438 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Leithner Andreas
Smolle Maria
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Abstract:
This study investigated the accuracy of general practitioner (GP) referrals under the two-week wait pathway for soft tissue sarcomas and whether the current National Institute for Health and Care Excellence criteria should be refined. All patients referred under the two-week wait system to one centre over the course of one year were reviewed. Comparison was made between the criteria identified by the GP and those confirmed by the centre to assess the accuracy of the referrals, and to identify what criteria predicted malignancy. Overall, 135 patients were referred to our unit with a mean age of 56.4 years. Of these, 45 (33%) were found to have a malignant tumour. Factors identified by the GP were accurate in 74% of cases. The best predictor of malignancy was 'size >5cm' (76% sensitivity) while 'pain' was the least useful (27% sensitivity). Lowering the threshold for concern to a size of >4cm increased sensitivity to 89%. Although 106 patients had undergone some form of imaging prior to referral, this did not increase the likelihood of malignancy being detected. The combination of factors most likely to predict malignancy was a size of >5cm, increase in size, deep location and no pain (10 out of 13 referrals, 77% accuracy). Based on the results of this study, we recommend an adaption of the existing features for concern. The new feature for concern should be 'size >4cm' and the factor 'pain' should be removed from the urgent referral form.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Aged, 80 and over -
Child -
Child, Preschool -
Disease Progression -
Disease Progression -
Family Practice - organization & administration
Family Practice - standards
Female -
Humans -
Male -
Middle Aged -
Pain - etiology
Referral and Consultation - organization & administration
Referral and Consultation - standards
Risk Factors -
Sarcoma - complications
Sarcoma - diagnosis
Sarcoma - pathology
Soft Tissue Neoplasms - complications
Soft Tissue Neoplasms - diagnosis
Soft Tissue Neoplasms - pathology
Waiting Lists -
Young Adult -

Find related publications in this database (Keywords)
Soft tissue sarcoma
Two-week wait
Clinical features
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