Endoscopy waiting times and impact of the two week wait scheme on diagnosis and outcome of upper gastrointestinal cancer
The NHS has introduced the two week wait scheme to detect upper gastrointestinal cancers at an early stage and improve survival rates The aim of this study was to assess the impact of this scheme and changes in endoscopy waiting times on tumour stage and resection rates over a four year period. Data...
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| Veröffentlicht in: | Postgraduate medical journal 2005-11, Vol.81 (961), p.728-730 |
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| creator | Spahos, T Hindmarsh, A Cameron, E Tighe, M R Igali, L Pearson, D Rhodes, M Lewis, M P N |
| description | The NHS has introduced the two week wait scheme to detect upper gastrointestinal cancers at an early stage and improve survival rates The aim of this study was to assess the impact of this scheme and changes in endoscopy waiting times on tumour stage and resection rates over a four year period. Data were analysed prospectively for all patients diagnosed with oesophagogastric cancer between September 1998 and September 2002 and from those referred under the two week wait scheme since its introduction in 2000. Of those tumours diagnosed by this scheme (15%) only 5% were early disease (stage 1 or 2). Patients with early cancer, mainly diagnosed by routine gastroscopy, do not present with symptoms meeting the two week wait criteria. An increase in the resection rates for early disease will most probably be seen with a reduction in routine endoscopy waiting times. |
| doi_str_mv | 10.1136/pgmj.2004.031104 |
| format | Article |
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Data were analysed prospectively for all patients diagnosed with oesophagogastric cancer between September 1998 and September 2002 and from those referred under the two week wait scheme since its introduction in 2000. Of those tumours diagnosed by this scheme (15%) only 5% were early disease (stage 1 or 2). Patients with early cancer, mainly diagnosed by routine gastroscopy, do not present with symptoms meeting the two week wait criteria. An increase in the resection rates for early disease will most probably be seen with a reduction in routine endoscopy waiting times.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/pgmj.2004.031104</identifier><identifier>PMID: 16272239</identifier><language>eng</language><publisher>London: The Fellowship of Postgraduate Medicine</publisher><subject>Ambulatory Care - utilization ; Biological and medical sciences ; Clinical Audit ; Early Diagnosis ; Endoscopy ; Endoscopy, Gastrointestinal - utilization ; England ; Esophageal Neoplasms - diagnosis ; Gastric cancer ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Humans ; Medical prognosis ; Medical sciences ; Prognosis ; Prospective Studies ; Referral and Consultation - statistics & numerical data ; Stomach Neoplasms - diagnosis ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Time Factors ; Tumors ; two week wait ; upper gastrointestinal cancer ; Vomiting ; Waiting Lists</subject><ispartof>Postgraduate medical journal, 2005-11, Vol.81 (961), p.728-730</ispartof><rights>Copyright 2005 The Fellowship of Postgraduate Medicine</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 The Fellowship of Postgraduate Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b526t-677c704b977d55a254fae39cbc3b834c2e56930456eb66ec392c933b69a5249b3</citedby><cites>FETCH-LOGICAL-b526t-677c704b977d55a254fae39cbc3b834c2e56930456eb66ec392c933b69a5249b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1743392/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1743392/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17267556$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16272239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spahos, T</creatorcontrib><creatorcontrib>Hindmarsh, A</creatorcontrib><creatorcontrib>Cameron, E</creatorcontrib><creatorcontrib>Tighe, M R</creatorcontrib><creatorcontrib>Igali, L</creatorcontrib><creatorcontrib>Pearson, D</creatorcontrib><creatorcontrib>Rhodes, M</creatorcontrib><creatorcontrib>Lewis, M P N</creatorcontrib><title>Endoscopy waiting times and impact of the two week wait scheme on diagnosis and outcome of upper gastrointestinal cancer</title><title>Postgraduate medical journal</title><addtitle>Postgrad Med J</addtitle><description>The NHS has introduced the two week wait scheme to detect upper gastrointestinal cancers at an early stage and improve survival rates The aim of this study was to assess the impact of this scheme and changes in endoscopy waiting times on tumour stage and resection rates over a four year period. Data were analysed prospectively for all patients diagnosed with oesophagogastric cancer between September 1998 and September 2002 and from those referred under the two week wait scheme since its introduction in 2000. Of those tumours diagnosed by this scheme (15%) only 5% were early disease (stage 1 or 2). Patients with early cancer, mainly diagnosed by routine gastroscopy, do not present with symptoms meeting the two week wait criteria. An increase in the resection rates for early disease will most probably be seen with a reduction in routine endoscopy waiting times.</description><subject>Ambulatory Care - utilization</subject><subject>Biological and medical sciences</subject><subject>Clinical Audit</subject><subject>Early Diagnosis</subject><subject>Endoscopy</subject><subject>Endoscopy, Gastrointestinal - utilization</subject><subject>England</subject><subject>Esophageal Neoplasms - diagnosis</subject><subject>Gastric cancer</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Humans</subject><subject>Medical prognosis</subject><subject>Medical sciences</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>two week wait</subject><subject>upper gastrointestinal cancer</subject><subject>Vomiting</subject><subject>Waiting Lists</subject><issn>0032-5473</issn><issn>1469-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU1v1DAYhCMEotvCnROyhOCCsvjb8QUJrcqHWMEFuFqO42S9TeJgO2z77-slqxa4cPJhnhnN6ymKZwiuESL8zdQN-zWGkK4hQQjSB8UKUS5LKBh_WKwgJLhkVJCz4jzGPYSICIoeF2eIY4Exkavi-nJsfDR-ugEH7ZIbO5DcYCPQYwPcMGmTgG9B2lmQDh4crL36DYJodnawwI-gcbobfXSLx8_J-KPQgnmabACdjil4NyYbc7zugdGjseFJ8ajVfbRPT-9F8f395bfNx3L79cOnzbttWTPMU8mFMALSWgrRMKYxo622RJrakLoi1GDLuCSQMm5rzq0hEhtJSM2lZpjKmlwUb5fcaa4H2xg7pqB7NQU36HCjvHbqb2V0O9X5XwoJSnJaDnh1Cgj-55yPUIOLxva9Hq2fo-KVEIwxmsEX_4B7P4d8ccxZFWKSCQkzBRfKBB9jsO1dFQTVcVR1HFUdR1XLqNny_M8T7g2nFTPw8gToaHTfhvzDLt5zAvNckWeuXDgXk72-03W4UlwQwdSXHxtVVegzRWyrqsy_Xvg6N_pvzVs69MjL</recordid><startdate>20051101</startdate><enddate>20051101</enddate><creator>Spahos, T</creator><creator>Hindmarsh, A</creator><creator>Cameron, E</creator><creator>Tighe, M R</creator><creator>Igali, L</creator><creator>Pearson, D</creator><creator>Rhodes, M</creator><creator>Lewis, M P N</creator><general>The Fellowship of Postgraduate Medicine</general><general>BMJ</general><general>Oxford University Press</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20051101</creationdate><title>Endoscopy waiting times and impact of the two week wait scheme on diagnosis and outcome of upper gastrointestinal cancer</title><author>Spahos, T ; Hindmarsh, A ; Cameron, E ; Tighe, M R ; Igali, L ; Pearson, D ; Rhodes, M ; Lewis, M P N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b526t-677c704b977d55a254fae39cbc3b834c2e56930456eb66ec392c933b69a5249b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Ambulatory Care - utilization</topic><topic>Biological and medical sciences</topic><topic>Clinical Audit</topic><topic>Early Diagnosis</topic><topic>Endoscopy</topic><topic>Endoscopy, Gastrointestinal - utilization</topic><topic>England</topic><topic>Esophageal Neoplasms - diagnosis</topic><topic>Gastric cancer</topic><topic>Gastroenterology. 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Anus</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>two week wait</topic><topic>upper gastrointestinal cancer</topic><topic>Vomiting</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spahos, T</creatorcontrib><creatorcontrib>Hindmarsh, A</creatorcontrib><creatorcontrib>Cameron, E</creatorcontrib><creatorcontrib>Tighe, M R</creatorcontrib><creatorcontrib>Igali, L</creatorcontrib><creatorcontrib>Pearson, D</creatorcontrib><creatorcontrib>Rhodes, M</creatorcontrib><creatorcontrib>Lewis, M P N</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Postgraduate medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spahos, T</au><au>Hindmarsh, A</au><au>Cameron, E</au><au>Tighe, M R</au><au>Igali, L</au><au>Pearson, D</au><au>Rhodes, M</au><au>Lewis, M P N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopy waiting times and impact of the two week wait scheme on diagnosis and outcome of upper gastrointestinal cancer</atitle><jtitle>Postgraduate medical journal</jtitle><addtitle>Postgrad Med J</addtitle><date>2005-11-01</date><risdate>2005</risdate><volume>81</volume><issue>961</issue><spage>728</spage><epage>730</epage><pages>728-730</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><abstract>The NHS has introduced the two week wait scheme to detect upper gastrointestinal cancers at an early stage and improve survival rates The aim of this study was to assess the impact of this scheme and changes in endoscopy waiting times on tumour stage and resection rates over a four year period. 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| identifier | ISSN: 0032-5473 |
| ispartof | Postgraduate medical journal, 2005-11, Vol.81 (961), p.728-730 |
| issn | 0032-5473 1469-0756 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1743392 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); PubMed Central; Alma/SFX Local Collection |
| subjects | Ambulatory Care - utilization Biological and medical sciences Clinical Audit Early Diagnosis Endoscopy Endoscopy, Gastrointestinal - utilization England Esophageal Neoplasms - diagnosis Gastric cancer Gastroenterology. Liver. Pancreas. Abdomen General aspects Humans Medical prognosis Medical sciences Prognosis Prospective Studies Referral and Consultation - statistics & numerical data Stomach Neoplasms - diagnosis Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery Time Factors Tumors two week wait upper gastrointestinal cancer Vomiting Waiting Lists |
| title | Endoscopy waiting times and impact of the two week wait scheme on diagnosis and outcome of upper gastrointestinal cancer |
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