Webb C J, Benton J, Tandon S, Jones T M, Roland N J
The Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Aintree, Lower Lane, Fazakerley, Liverpool, UK.
Clin Otolaryngol. 2007 Aug;32(4):293-6. doi: 10.1111/j.1365-2273.2007.01490.x.
The guidelines for treating cancer changed in December 2005 to no longer than 62 days from urgent referral to treatment, or 31 days from diagnosis to treatment. The use, by general practitioners, of suspected head and neck cancer proformas has reduced the time taken from referral to first outpatient appointment from 15 days in 2003 to 5.5 days in 2005. The introduction of specific radiology request forms for suspected malignancy has allowed easier identification of requests for imaging and subsequently a shorter waiting time for radiological investigations from 23 days in 2003 to 10 days in 2005. The appointment of a new dedicated head and neck cancer consultant at Aintree and the provision of another linear accelerator have reduced the waiting time for surgery from 68 days in 2003 to 39 days in 2005 and radiotherapy from 86 days in 2003 to 52.6 days in 2005. Patients not referred as suspected cancer patients who subsequently receive primary radiotherapy for a head and neck cancer fall outside the 62 day rule, being treated on average 70 days after referral.
2005年12月，癌症治疗指南发生了变化，从紧急转诊到治疗的时间不得超过62天，从诊断到治疗的时间不得超过31天。全科医生使用疑似头颈癌诊疗表，将从转诊到首次门诊预约的时间从2003年的15天缩短至2005年的5.5天。引入针对疑似恶性肿瘤的特定放射学申请表格，使得更容易识别影像检查申请，进而将放射学检查的等待时间从2003年的23天缩短至2005年的10天。在安特里任命了一位新的头颈癌专科顾问，并增加了一台直线加速器，将手术等待时间从2003年的68天缩短至2005年的39天，放疗等待时间从2003年的86天缩短至2005年的52.6天。那些最初未被作为疑似癌症患者转诊、随后接受头颈癌原发性放疗的患者不在62天规则范围内，他们在转诊后平均70天接受治疗。
