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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2016
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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. |
format | Online Article Text |
id | pubmed-5046212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
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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