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Lymphoma presenting as neck lumps: causes of waiting time target breaches and potential solutions

Published online by Cambridge University Press:  04 November 2013

H Raja ,
L Pabla ,
H Wheatley  and
M R B Farr
H Raja*
Affiliation:
Department of ENT, University Hospital North Staffordshire, Stoke-on-Trent, UK
L Pabla
Affiliation:
Department of ENT, Royal Wolverhampton Hospital, Coventry, UK
H Wheatley
Affiliation:
Department of ENT, Gloucestershire Hospitals, Coventry, UK
M R B Farr
Affiliation:
Department of ENT, Division of Health Sciences, Warwick Medical School, The University of Warwick, Coventry, UK
*
Address for correspondence: Mr H Raja, 31 Wheatsheaf Rd, Edgbaston, Birmingham B16 ORZ, UK E-mail: [email protected]
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Abstract

Objectives:

This study aimed to assess the speed of referral, diagnosis and treatment of patients with lymphoma presenting with a neck lump, and to identify where delays are occurring that prevent UK national targets from being met.

Method:

The study entailed a retrospective survey of patients presenting with a neck lump secondary to lymphoma between 2006 and 2008 in Gloucestershire, UK.

Results:

Forty-seven of 54 patients (87 per cent) were seen within 2 weeks of referral. However, the 62-day rule, which covers the time from referral to the initiation of treatment, was met in only 32 of the 54 cases (59 per cent). There were no breaches of the 31-day target, which concerned the time from decision to treat to the initiation of treatment. Subsequent target breaches were due to longer waiting times for radiological and pathological investigations.

Conclusion:

Radiological examinations should be ordered at the first consultation and biopsies performed as soon as possible. Establishing one-stop, rapid access clinics should improve the achievement of a maximum 62-day wait for patients with lymphoma presenting with neck lumps.

Keywords

NeckLymphadenopathyLymphomaNeoplasmsDelayed Diagnosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1111 - 1115
Copyright
Copyright © JLO (1984) Limited 2013 

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