Department of Paediatrics, Watford General Hospital, Vicarage Road, Watford, Hertfordshire WD18 0HB, UK.
Arch Dis Child. 2012 Mar;97(3):233-5. doi: 10.1136/archdischild-2011-300783. Epub 2012 Jan 13.
To evaluate the role of the urgent 2-week referral pathway in facilitating the early diagnosis of childhood cancer.
Retrospective case notes review of all children referred via the pathway and all children diagnosed as having cancer via other means over a period of 3½ years (January 2007-July 2010).
District general hospital with a shared care oncology service.
82 children aged 0-15 years.
Outcomes for children referred via the 2-week urgent referral pathway, including diagnosis, need for further investigations and need for further specialist input.
35 children were referred via the 2-week urgent referral pathway with suspected cancer. Only one of these children had a malignancy. 49% of children required no further investigations and 43% were discharged after the first appointment with no follow-up thought necessary. Over the same time period, 47 children were diagnosed as having cancer via other means.
The pickup rate of cancer among children referred via the 2-week urgent referral pathway is extremely low and the vast majority of cancer is diagnosed via different routes.
评估紧急 2 周转诊途径在促进儿童癌症早期诊断中的作用。
对通过该途径转诊的所有儿童和通过其他途径诊断为癌症的所有儿童的病历进行回顾性分析，时间跨度为 3 年半（2007 年 1 月至 2010 年 7 月）。
具有共享肿瘤护理服务的地区综合医院。
82 名 0-15 岁的儿童。
通过 2 周紧急转诊途径转诊的儿童的结果，包括诊断、进一步检查的需要和进一步专科意见的需要。
35 名儿童通过 2 周紧急转诊途径被转诊为疑似癌症。这些儿童中只有 1 人患有恶性肿瘤。49%的儿童不需要进一步检查，43%的儿童在首次就诊后无需进一步随访即可出院。在同一时期，有 47 名儿童通过其他途径被诊断为癌症。
通过 2 周紧急转诊途径转诊的儿童癌症检出率极低，绝大多数癌症是通过不同途径诊断的。
