Hanna S J, Muneer A, Khalil K H
Department of General Surgery, Department of Urology, Northampton General Hospital, UK.
Int J Clin Pract. 2005 Nov;59(11):1334-9. doi: 10.1111/j.1368-5031.2005.00687.x.
The 2-week rule, stating that patients with suspected cancer should be seen by a specialist within 2 weeks of referral by their General Practitioner, was introduced in the UK in 2000. Although it has been the subject of much interest in the literature, to date there has been no review of the literature. A thorough literature review was undertaken using the medline database, from January 2000; further references were obtained from the reference lists of relevant papers. Some studies have demonstrated a reduction in the waiting times to see specialists, and in some cases time to treatment, and have commented on the potential psychological benefits to patients. However, concerns have been raised over the often low yield of malignancy and the high proportion of malignancies still being diagnosed outside the 2-week wait system. There is, as yet, no evidence that the initiative impacts on survival.
“两周规则”规定，疑似癌症患者应由全科医生转诊，并在两周内接受专科医生诊治，该规则于2000年在英国推行。尽管它一直是文献中备受关注的主题，但迄今为止尚未有对相关文献的综述。我们使用医学在线数据库（Medline）对2000年1月以来的文献进行了全面检索；还从相关论文的参考文献列表中获取了更多参考文献。一些研究表明，患者看专科医生的等待时间有所缩短，在某些情况下治疗时间也有所缩短，并且提到了这对患者可能产生的心理益处。然而，也有人担心恶性肿瘤的检出率往往较低，而且仍有很大比例的恶性肿瘤是在两周等待系统之外被诊断出来的。目前尚无证据表明该举措会对生存率产生影响。
