熟考する/考慮する 明らかにする/漏らすs worrying 欠如(する) of 癌 referrals

患者s with “red 旗” 癌 symptoms are not 存在 referred by their GP for 緊急の 調査 in six out of 10 事例/患者s, a new 熟考する/考慮する (人命などを)奪う,主張するs.

The 研究 設立する that a 重要な number of the 患者s who were not referred went on to develop 癌 within a year of their GP 協議.

早期に diagnosis of 癌 is known to be a major factor in saving lives.

The 熟考する/考慮する was led by the University of Exeter, working with University College London, and 基金d by 癌 研究 UK.

Dr Gary Abel, who led the 研究, said: “Over the past 10年間 we’ve made 抱擁する 進歩 in 改善するing life-saving 癌 diagnosis in the UK, in part thanks to GPs.

“Our 熟考する/考慮する showed that 患者s who are referred are much more likely to be 診断するd with 癌 in the next year than those that are not referred, so GPs are 明確に referring the highest 危険 患者s 適切な.

(PA)

(PA)

“However, many 患者s did not receive an 緊急の referral within two weeks, contrary to 指導基準s.

“The number of 患者s who go on to be 診断するd with 癌 when they are not 緊急に referred 示すs that に引き続いて the 指導基準s more 厳密に would have 重要な 利益s.

Lead author Dr Bianca Wiering said: “Our 研究 設立する that a number of 患者s go on to develop 癌 after they were not referred for red 旗 symptoms.

“This could mean an 適切な時期 to 診断する the 癌 earlier was 行方不明になるd. We think this could be 改善するd by 厳格な人 固守 to the 指導基準s and 増加するd 認識/意識性 of the groups of 患者s in whom symptoms are frequently 行方不明になるd, 含むing younger 患者s.

“It’s important to 公式文書,認める that this 問題/発行する does not just 嘘(をつく) with GPs ? we also need to 確実にする the services to 供給する the 実験(する)s needed on referral are 井戸/弁護士席 資源d, which we know is 現在/一般に not always the 事例/患者.”

The 研究 team analysed 記録,記録的な/記録するs from nearly 49,000 患者s who 協議するd their GP with one of the 警告 調印するs for 癌 that should 令状 referral under 臨床の 指導基準s.

They 設立する that six out of 10 患者s were not referred for 癌 調査 within two weeks of the first visit.

Of the 29,045 患者s not referred, 1,047 developed 癌 within a year (3.6%).

The 研究員s 過程d 記録,記録的な/記録するs from the 臨床の Practice 研究 Datalink, 同様に as 統計(学) on visits to hospital and 癌 登録 data between 2014 and 2015.

They looked at 患者s who had 報告(する)/憶測d 癌 警告 調印するs to their GP for the first time.

The “alarm” symptoms 含むd 血 in urine, a breast lump, problems swallowing, アイロンをかける-欠陥/不足 anaemia, and postmenopausal or rectal bleeding.

The 見込み of a 患者 存在 referred within two weeks 変化させるd, depending on which symptom they showed.

The lowest referral 率 was for problems swallowing, at just 17%, and the highest was for breast lump, at 68%.

An NHS spokeswoman said: “The data 言及/関連d in this 熟考する/考慮する is from 2014-15 and since then, 緊急の GP referrals for 嫌疑者,容疑者/疑うd 癌 have been rising at around 200,000 each year, reaching 2.4 million last year and at 記録,記録的な/記録する levels again this year.

“The NHS has continued to prioritise 癌 care throughout the pandemic and in July more than 220,000 people were referred for 癌 checks, an 増加する of 45,000 from July 2020 with tre atment now 支援する to pre-pandemic 率s.”

? The paper, Concordance with 緊急の referral 指導基準s in 患者s 現在のing with any of 6 ‘alarm’ features of possible 癌: A retrospective cohort 熟考する/考慮する using linked 最初の/主要な care 記録,記録的な/記録するs, is published in the 定期刊行物 BMJ 質 & Safety.

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