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Evaluating whether a new Head and Neck Rapid Diagnosis Clinic can reduce the time to diagnosis.
EP34231
Poster Title: Evaluating whether a new Head and Neck Rapid Diagnosis Clinic can reduce the time to diagnosis.
Submitted on 26 Oct 2020
Author(s): Dr Lucinda Frank and Dr Mandy Williams
Affiliations: University Hospitals Bristol and Weston NHS Foundation Trust
This poster was presented at BIR Annual Congress 2020
Poster Views: 89
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Poster Information
Abstract: Background:
Demand for head and neck ultrasounds is increasing. At our institute a large number of normal neck ultrasound scans were being performed in one stop clinics for reassurance with biopsies being under taken when no pathologist available. A rapid diagnosis clinic (RDC) was therefore set up to provide a streamlined pathway for patients requiring diagnostic ultrasound guided biopsies.

Aim:
Evaluate 3 months of data from the new RDC to assess its effectiveness and compare it to the previous head and neck one stop clinics.

Method:
Data on the source of referral, number of ultrasounds and biopsies performed as well as waiting times for ultrasound and diagnosis were collected for the RDC and compared to the previous one stop clinics.

Results:
202 ultrasounds were performed in the RDC over 3 months compared to 102 in the one stop clinics. One hundred and seven patients (53%) underwent biopsies in the RDC compared to 32% patients previously. Patients from 9 different specialities were seen in the RDC. Fewer same day ultrasounds were performed however the mean wait for ultrasound was acceptable at 7 days. The mean time from clinic appointment to diagnosis decreased from 17 days to 14 days following the introduction of the new system.

Conclusion:
RDC is an efficient use of pathology and radiology resources. Patients from a wider range of specialities were seen with 53% undergoing biopsy and repeat biopsy rate low due to pathology assessment in the clinic. The mean time from clinic appointment to diagnosis decreased
Summary: The rapid diagnosis clinic is an efficient use of pathology and radiology resources. Patients from a wider range of specialities were seen with 53% undergoing biopsy and repeat biopsy rate low due to pathology assessment in the clinic. The mean time from clinic appointment to diagnosis decreased
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