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Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study

BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long. METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for...

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Autores principales: Liedberg, Fredrik, Gerdtham, Ulf, Gralén, Katarina, Gudjonsson, Sigurdur, Jahnson, Staffan, Johansson, Irene, Hagberg, Oskar, Larsson, Staffan, Lind, Anna-Karin, Löfgren, Annica, Wanegård, Jenny, Åberg, Hanna, Nilbert, Mef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5046212/
https://www.ncbi.nlm.nih.gov/pubmed/27560554
http://dx.doi.org/10.1038/bjc.2016.265
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author Liedberg, Fredrik
Gerdtham, Ulf
Gralén, Katarina
Gudjonsson, Sigurdur
Jahnson, Staffan
Johansson, Irene
Hagberg, Oskar
Larsson, Staffan
Lind, Anna-Karin
Löfgren, Annica
Wanegård, Jenny
Åberg, Hanna
Nilbert, Mef
author_facet Liedberg, Fredrik
Gerdtham, Ulf
Gralén, Katarina
Gudjonsson, Sigurdur
Jahnson, Staffan
Johansson, Irene
Hagberg, Oskar
Larsson, Staffan
Lind, Anna-Karin
Löfgren, Annica
Wanegård, Jenny
Åberg, Hanna
Nilbert, Mef
author_sort Liedberg, Fredrik
collection PubMed
description BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long. METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for fast-track diagnostics was provided in nine Swedish municipalities for patients aged ⩾50 years with macroscopic haematuria. The control group comprised 101 patients diagnosed with bladder cancer in the same catchment area with macroscopic haematuria who underwent regular diagnostic process. RESULTS: In all 275 patients who called ‘the Red Phone' hotline were investigated, and 47 of them (17%) were diagnosed with cancer and 36 of those had bladder cancer. Median time from patient-reported haematuria to diagnosis was 29 (interquartile range (IQR) 14−104) days and 50 (IQR 27−165) days in the intervention and the control group, respectively (P=0.03). The median health-care costs were lower in the intervention group (655 (IQR 655−655) EUR) than in the control group (767 (IQR 490−1096) EUR) (P=0.002). CONCLUSIONS: Direct access to urologic expertise and fast-track diagnostics is motivated for patients with macroscopic haematuria to reduce diagnostic intervals and lower health-care expenditures.
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spelling pubmed-50462122017-09-27 Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study Liedberg, Fredrik Gerdtham, Ulf Gralén, Katarina Gudjonsson, Sigurdur Jahnson, Staffan Johansson, Irene Hagberg, Oskar Larsson, Staffan Lind, Anna-Karin Löfgren, Annica Wanegård, Jenny Åberg, Hanna Nilbert, Mef Br J Cancer Clinical Study BACKGROUND: The delay between onset of macroscopic haematuria and diagnosis of bladder cancer is often long. METHODS: We evaluated timely diagnosis and health-care costs for patients with macroscopic haematuria given fast-track access to diagnostics. During a 15-month period, a telephone hotline for fast-track diagnostics was provided in nine Swedish municipalities for patients aged ⩾50 years with macroscopic haematuria. The control group comprised 101 patients diagnosed with bladder cancer in the same catchment area with macroscopic haematuria who underwent regular diagnostic process. RESULTS: In all 275 patients who called ‘the Red Phone' hotline were investigated, and 47 of them (17%) were diagnosed with cancer and 36 of those had bladder cancer. Median time from patient-reported haematuria to diagnosis was 29 (interquartile range (IQR) 14−104) days and 50 (IQR 27−165) days in the intervention and the control group, respectively (P=0.03). The median health-care costs were lower in the intervention group (655 (IQR 655−655) EUR) than in the control group (767 (IQR 490−1096) EUR) (P=0.002). CONCLUSIONS: Direct access to urologic expertise and fast-track diagnostics is motivated for patients with macroscopic haematuria to reduce diagnostic intervals and lower health-care expenditures. Nature Publishing Group 2016-09-27 2016-08-25 /pmc/articles/PMC5046212/ /pubmed/27560554 http://dx.doi.org/10.1038/bjc.2016.265 Text en Copyright © 2016 Cancer Research UK http://creativecommons.org/licenses/by-nc-sa/4.0/ From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/
spellingShingle Clinical Study
Liedberg, Fredrik
Gerdtham, Ulf
Gralén, Katarina
Gudjonsson, Sigurdur
Jahnson, Staffan
Johansson, Irene
Hagberg, Oskar
Larsson, Staffan
Lind, Anna-Karin
Löfgren, Annica
Wanegård, Jenny
Åberg, Hanna
Nilbert, Mef
Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title_full Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title_fullStr Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title_full_unstemmed Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title_short Fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
title_sort fast-track access to urologic care for patients with macroscopic haematuria is efficient and cost-effective: results from a prospective intervention study
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5046212/
https://www.ncbi.nlm.nih.gov/pubmed/27560554
http://dx.doi.org/10.1038/bjc.2016.265
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