ENT, Northampton General Hospital NHS Trust, Northampton, UK.
Armed Forces Medical Services, Pune, India.
Eur Arch Otorhinolaryngol. 2021 Dec;278(12):4951-4954. doi: 10.1007/s00405-021-06729-1. Epub 2021 Mar 10.
One-stop neck lump clinics (OSNLC) are gaining popularity worldwide especially in the UK hospitals following NICE recommendation. The main aim of this speciality clinic is a quick diagnosis and early management while simultaneously improving patient experience.
To analyse and compare the efficacy of OSNLC and general ENT/Head and neck clinic with specifics to a number of appointments required for formulating management plan and a number of 'one stop' visits.
Retrospective observational study SETTING: Regional Head and Neck Cancer Center (Secondary care hospital) PARTICIPANTS: Patients referred by General practitioner with symptoms of a neck lump MAIN OUTCOME MEASURES: Patients seen in general ENT/Head and neck and OSNLC in 2 phases to understand the difference in a number of appointments, one-stop visits, the requirement of Ultrasound and efficiency of Fine needle aspiration.
Improved efficacy of OSNLC was noted as patients seen in the clinic required a lesser number of appointments, reached a faster diagnosis and management plan when compared to patients seen in general ENT clinic.
一站式颈部肿块诊所(OSNLC)在全球范围内越来越受欢迎,尤其是在英国的医院,这是遵循 NICE 建议的结果。该专科诊所的主要目的是快速诊断和早期管理,同时改善患者体验。
分析和比较 OSNLC 与一般耳鼻喉/头颈部诊所的疗效,具体比较制定管理计划所需的预约次数和“一站式”就诊次数。
回顾性观察性研究
区域头颈部癌症中心(二级保健医院)
由全科医生转诊的颈部肿块症状患者
在一般耳鼻喉/头颈部和 OSNLC 两个阶段就诊的患者,以了解预约次数、“一站式”就诊次数、超声检查的需求和细针抽吸的效率的差异。
与在一般耳鼻喉科就诊的患者相比,OSNLC 诊所的患者就诊次数更少,更快地做出诊断并制定管理计划,因此 OSNLC 的疗效得到了改善。