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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...

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Autores principales: Allam, Ahmed, Nijim, Hazem
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
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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.
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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
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