Cargando…
Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE
DESIGN AND SETTING: A retrospective study was conducted on all 2WW referrals made to our tertiary head and neck centre in a 12-month period. METHODS: Sensitivity, specificity, and PPV of presenting complaints in H&N cancer diagnosis using Excel® and the statistical package SPSS®. RESULTS: The se...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525844/ https://www.ncbi.nlm.nih.gov/pubmed/31191659 http://dx.doi.org/10.1155/2019/4920514 |
_version_ | 1783419777243414528 |
---|---|
author | Allam, Ahmed Nijim, Hazem |
author_facet | Allam, Ahmed Nijim, Hazem |
author_sort | Allam, Ahmed |
collection | PubMed |
description | DESIGN AND SETTING: A retrospective study was conducted on all 2WW referrals made to our tertiary head and neck centre in a 12-month period. METHODS: Sensitivity, specificity, and PPV of presenting complaints in H&N cancer diagnosis using Excel® and the statistical package SPSS®. RESULTS: The sensitivity and specificity of 2005 NICE guidelines in detecting H&N cancers were 91.2% and 59%, respectively; their PPV was 9%. The sensitivity and specificity of 2015 NICE guidelines were 75.4% and 71%, respectively; their PPV was 10.3%. Eight out of 85 patients who presented with unilateral sore throat for more than 4 weeks, with or without otalgia and normal otoscopy, had H&N cancer (PPV 9.5%). CONCLUSIONS: Although the 2015 NICE guidelines have a high rate in detecting H&N cancers, consideration of reincluding unilateral sore throat in the referral criteria might be necessary. |
format | Online Article Text |
id | pubmed-6525844 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-65258442019-06-12 Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE Allam, Ahmed Nijim, Hazem Int J Otolaryngol Research Article DESIGN AND SETTING: A retrospective study was conducted on all 2WW referrals made to our tertiary head and neck centre in a 12-month period. METHODS: Sensitivity, specificity, and PPV of presenting complaints in H&N cancer diagnosis using Excel® and the statistical package SPSS®. RESULTS: The sensitivity and specificity of 2005 NICE guidelines in detecting H&N cancers were 91.2% and 59%, respectively; their PPV was 9%. The sensitivity and specificity of 2015 NICE guidelines were 75.4% and 71%, respectively; their PPV was 10.3%. Eight out of 85 patients who presented with unilateral sore throat for more than 4 weeks, with or without otalgia and normal otoscopy, had H&N cancer (PPV 9.5%). CONCLUSIONS: Although the 2015 NICE guidelines have a high rate in detecting H&N cancers, consideration of reincluding unilateral sore throat in the referral criteria might be necessary. Hindawi 2019-05-05 /pmc/articles/PMC6525844/ /pubmed/31191659 http://dx.doi.org/10.1155/2019/4920514 Text en Copyright © 2019 Ahmed Allam and Hazem Nijim. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Allam, Ahmed Nijim, Hazem Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title | Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title_full | Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title_fullStr | Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title_full_unstemmed | Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title_short | Persistent Unilateral Sore Throat: Should It Be Included in the 2-Week Wait Referral Criteria by NICE |
title_sort | persistent unilateral sore throat: should it be included in the 2-week wait referral criteria by nice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525844/ https://www.ncbi.nlm.nih.gov/pubmed/31191659 http://dx.doi.org/10.1155/2019/4920514 |
work_keys_str_mv | AT allamahmed persistentunilateralsorethroatshoulditbeincludedinthe2weekwaitreferralcriteriabynice AT nijimhazem persistentunilateralsorethroatshoulditbeincludedinthe2weekwaitreferralcriteriabynice |