Posters
« Back
An Initial Assessment of the ‘Abnormal GP Chest X-ray Straight to CT Pathway’ at Princess Alexandra Hospital (Harlow, Essex)
EP29181
Poster Title: An Initial Assessment of the ‘Abnormal GP Chest X-ray Straight to CT Pathway’ at Princess Alexandra Hospital (Harlow, Essex)
Submitted on 14 Sep 2018
Author(s): James K. Diss, Mark Gregory, Elena Stefan, Sridhar Redla, Sandra Dimmock
Affiliations: Radiology Department, Princess Alexandra Hospital, Hamstel Road, Harlow, Essex
This poster was presented at BIR Annual Congress 2018
Poster Views: 469
View poster »


Poster Information
Abstract: Introduction: Lung cancer is the leading cause of UK cancer deaths, largely due to late presentation. Several recent pilot studies aiming to speed-up the suspected lung cancer diagnostic pathway have been described. At Princess Alexandra Hospital, a new ‘Abnormal GP Chest X-ray (CXR) Straight to CT Pathway’, triggered directly by Radiology following reporting of suspicion of malignancy, commenced in October 2017, with direct MDT-referral of resultant CTs consistent with lung cancer. Here, we assessed the new Pathway’s: (1) case numbers, (2) incidence of new cancer diagnoses, and (3) diagnostic speed.

Materials & Methods: All cases referred to the Pathway from October 2017 to January 31st 2018 were reviewed and compared with reported abnormal GP CXR cases in the same period the year before.

Results: There was no significant difference in the case numbers or general patient demographics in the two time periods; however, as expected, the time from CXR request to CT Report was significantly quicker with the new Pathway (10.6 +/- 1.2 versus 17.1 +/- 1.7 days, p<0.01), mainly due to a significant reduction in the time from CXR Report generation to follow-up CT (2.4 +/- 0.5 versus 9.5 +/- 0.9 days, p<0.01). On average, there were 15 monthly Pathway cases (from ~2000 monthly GP CXRs performed), with follow-up CT consistent with malignancy in 51% (23/45 cases).

Conclusion: Assessment of the Pathway’s first 3 months demonstrated a significant improvement (of approximately 1 week) in the speed from CXR to CT, and hence potential new cancer diagnosis.
Summary: Assessment of the new Abnormal GP Chest X-ray (CXR) Straight to CT Pathway’s first 3 months demonstrated a significant improvement (of approximately 1 week) in the speed from CXR to CT, and hence potential new cancer diagnosis. Report abuse »
Questions
Ask the author a question about this poster.
Ask a Question »

Creative Commons

Related Posters


Etiological diagnostics of cardiomyopathies in the cardiology unit of the HUEH internal medicine department during the period from 8 January 2014 to 14 June 2014
*Axler JEAN PAUL; **Lesly Ed. ARCHER; *Raema Mimrod JEAN; *Gerald VERNELUS; *Rodolph MALEBRANCHE

Medical Student: Move over Stem Cells – Exosomes are Here! What are Exosomes & their role in Regenerative Medicine?
Amartej Singh Deol MD4 & Advisor: Shivinder S. Deol MD

Resident: NONHEALING ULCER THE NEED TO LOOK FURTHER
Briand Bounkeu MD; Ravi Shekarappa MD; La Toya Jackson DO, FAAFP; Chinedu Ivonye MD, FACP; Cristal Kudiwu MD

Striving for Equity in Surgical, Anesthesia, and Obstetric Research in Haiti: A Multi-Partner, International Research Training Collaboration
Dr. Jean Alouidor*, Dr. Frédéric Barau Déjean*, Dr. Louis-Franck Télémaque, Dr. Ronald Eveillard, Dr. Laëlle Mangurat, Dr. Isaac Martineau, Dr. Chartelin Jean Isaac, Dr. Darlène Rochelin Paultre, Carine Réveil Jean-Baptiste, Dr. Lucile Louis Riché, Dr. Jordan Pyda, Rolvix Patterson III, Dr. Blake Alkire, Dr. Eunice Dérivois-Mérisier (*Co-First Authors)

Projektstatus: Entwicklung einer konsensbasierten Therapieempfehlung für die PADOVAN-METHODE® in der Neurorehabilitation
Eisenmeier, Dimitri1; Ostermann, Thomas1; Vogel, Hannah1; Fetz, Katharina1