Navigation Links
Two Week Wait Rule Not Working With Breast Cancer Patients

At the end of the last century death rates from breast cancer in the UK were among the highest in Europe. Long waiting lists, resulting in delayed diagnosis and treatment, were thought to be partly responsible.The two week wait rule is failing breast cancer patients and needs to be reviewed urgently .

In 1998 the Department of Health brought in the 2 week wait rule which stipulated that by April 1999 all patients with suspected breast cancer should be seen by a specialist within two weeks of referral by a GP.

Many studies have questioned the validity of the 2 week wait rule, but this is the first to assess the long term impact. Dr Shelley Potter and her colleagues gathered data on the number, route and outcome of Primary Care referrals to the Frenchay Brest Care Centre in Bristol between 1999 and 2005.

There were 24,999 referrals to the centre during this period, with GPs classifying each patient as being either urgent according to 2 week wait criteria or routine. Between 1999 and 2005 the number of annual referrals to the centre increased by 9%.

Routine referrals decreased by 24% but 2-week wait referrals increased by 42%. Despite the changes in referral patterns the total number of cancers remained constant over the 7 year period.

Yet the researchers found the percentage of patients diagnosed with cancer in the 2-week wait group decreased from 12.8% to 7.7% whilst the number of cancers detected in the routine group increased from 2.5% to 5.3% over the same time period.

In 2005 more than 1 in 4 (27%) patients ultimately diagnosed with cancer in 2005 was referred non-urgently. Dr Potter describes the increase in cancers diagnosed from the routine population as alarming and says:

These patients are also potentially being disadvantaged by longer clinic waits and delays in diagnosis as waiting times for routine referrals have increased in the face of increasing service demands fr om the dramatically increased number of patients referred under the two week rule, over 90% of whom have benign disease.

Despite increasing numbers of referrals, waiting times for the 2 week wait group were always well maintained say the authors. However waiting times for routine referrals increased, these patients currently have to wait 30 days. They conclude by saying: The system is failing patients and a change is urgently needed.


Related medicine news :

1. Working in shifts may cause damage to your health
2. Junior Doctors Working Long Hours May Perform Poorly
3. New UK Policy Threatens The Flexible Working Scheme
4. Medicare Drug Plan Is Not Working in The US
5. Warning! Working For Long Hours On Your Computer Can Be Lethal
6. Stressed Pregnant Working Mothers Put Their Unborn Child’s Life in Dange
7. Working of Drug Department on Hold Without Drug Analyst
8. Doctor Faces Disbarment For Working In Multiple Hospitals
9. Computational Model Reveals Working of AZT in Body
10. Scientists Working On Drug Trial Guidelines
11. Scientists Uncover Complex Workings of Sperm
Post Your Comments:

(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room ... Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, ... the latter, setting the bar too high can result in disappointment, perhaps even self-loathing. ... toward their goal. , Research from reveals that behind the ...
(Date:6/24/2016)... ... ... in a crisis. Her son James, eight, was out of control. Prone to extreme mood ... something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a ... children and say he was going to kill them. If we were driving on ...
(Date:6/24/2016)... ... 24, 2016 , ... Comfort Keepers® of San Diego, CA is excited to ... Recovery® program to drive cancer patients to and from their cancer treatments. Comfort ... quality of life and ongoing independence. Getting to and from medical treatments is ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the network’s ... the world, and the most handsome men, look naturally attractive. Plastic surgery should ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Bracket , ... launch its next generation clinical outcomes platform, Bracket eCOA (SM) ... held on June 26 – 30, 2016 in ... first electronic Clinical Outcome Assessment product of its kind to ... #715. Bracket eCOA 6.0 is a flexible platform ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), ... company,s second affiliate in Latin America . ... ... Colombia ... ...
(Date:6/23/2016)... 2016 The vast majority of dialysis patients ... Treatments are usually 3 times a week, with treatment ... travel time, equipment preparation and wait time.  This regimen ... for patients who are elderly and frail.  Many elderly ... rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: