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The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness

Kym Carter Orcid Logo, Hayley Hutchings Orcid Logo, Glyn Elwyn

The Open Colorectal Cancer Journal, Volume: 2, Issue: 1, Pages: 27 - 33

Swansea University Authors: Kym Carter Orcid Logo, Hayley Hutchings Orcid Logo, Glyn Elwyn

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DOI (Published version): 10.2174/1876820200902010027

Abstract

Aim: To systematically review the impact of the Two-Week Rule in increasing the pick-up rate of colorectal cancers and Upper Gastrointestinal (GI) cancers in the NHS.Materials and Methods: Data were combined for meta-analyses to determine (1) the Two-Week Rule pick-up rate for each cancer type and (...

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Published in: The Open Colorectal Cancer Journal
ISSN: 1876-8202
Published: Bentham Science Publishers Ltd. 2009
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URI: https://cronfa.swan.ac.uk/Record/cronfa58421
first_indexed 2021-11-17T14:08:28Z
last_indexed 2021-11-18T04:27:59Z
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recordtype SURis
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spelling 2021-11-17T14:08:30.1650719 v2 58421 2021-10-20 The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness 1b1870c5c1ec66eed0bf209e50a6ee25 0000-0003-0691-6282 Kym Carter Kym Carter true false bdf5d5f154d339dd92bb25884b7c3652 0000-0003-4155-1741 Hayley Hutchings Hayley Hutchings true false 4299c3b5e2e1c05e4ff2072b2de45149 Glyn Elwyn Glyn Elwyn true false 2021-10-20 MEDS Aim: To systematically review the impact of the Two-Week Rule in increasing the pick-up rate of colorectal cancers and Upper Gastrointestinal (GI) cancers in the NHS.Materials and Methods: Data were combined for meta-analyses to determine (1) the Two-Week Rule pick-up rate for each cancer type and (2) the proportion of patients referred using the Two-Week Rule. Overall results were given as weighted averages.Results: There were 20 articles and 27 peer-reviewed abstracts included in this review. Colorectal Cancer: Only 9.5% of patients referred by the Two-Week Rule were eventually diagnosed with colorectal cancer (n = 24). When examining the referral origin of all colorectal cancer patients diagnosed during the time of 19 studies with this data, 32.2% had been referred using the Two-Week Rule. Upper GI Cancer: Only 5.5% of patients referred by the Two-Week Rule were eventually diagnosed with Upper GI cancer (n = 23). When examining the referral origin of all Upper GI cancer patients diagnosed during the time of 17 studies with this data, 23.6% had been referred using the Two-Week Rule.Conclusion: The Two-Week Rule is not sufficiently effective in diagnosing neither upper GI nor colorectal cancers in patients presenting to their General Practitioner. Journal Article The Open Colorectal Cancer Journal 2 1 27 33 Bentham Science Publishers Ltd. 1876-8202 23 11 2009 2009-11-23 10.2174/1876820200902010027 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University 2021-11-17T14:08:30.1650719 2021-10-20T10:09:39.6138167 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Kym Carter 0000-0003-0691-6282 1 Hayley Hutchings 0000-0003-4155-1741 2 Glyn Elwyn 3
title The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
spellingShingle The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
Kym Carter
Hayley Hutchings
Glyn Elwyn
title_short The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
title_full The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
title_fullStr The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
title_full_unstemmed The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
title_sort The Two-Week Rule for NHS Gastrointestinal Cancer Referrals: A Systematic Review of Diagnostic Effectiveness
author_id_str_mv 1b1870c5c1ec66eed0bf209e50a6ee25
bdf5d5f154d339dd92bb25884b7c3652
4299c3b5e2e1c05e4ff2072b2de45149
author_id_fullname_str_mv 1b1870c5c1ec66eed0bf209e50a6ee25_***_Kym Carter
bdf5d5f154d339dd92bb25884b7c3652_***_Hayley Hutchings
4299c3b5e2e1c05e4ff2072b2de45149_***_Glyn Elwyn
author Kym Carter
Hayley Hutchings
Glyn Elwyn
author2 Kym Carter
Hayley Hutchings
Glyn Elwyn
format Journal article
container_title The Open Colorectal Cancer Journal
container_volume 2
container_issue 1
container_start_page 27
publishDate 2009
institution Swansea University
issn 1876-8202
doi_str_mv 10.2174/1876820200902010027
publisher Bentham Science Publishers Ltd.
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description Aim: To systematically review the impact of the Two-Week Rule in increasing the pick-up rate of colorectal cancers and Upper Gastrointestinal (GI) cancers in the NHS.Materials and Methods: Data were combined for meta-analyses to determine (1) the Two-Week Rule pick-up rate for each cancer type and (2) the proportion of patients referred using the Two-Week Rule. Overall results were given as weighted averages.Results: There were 20 articles and 27 peer-reviewed abstracts included in this review. Colorectal Cancer: Only 9.5% of patients referred by the Two-Week Rule were eventually diagnosed with colorectal cancer (n = 24). When examining the referral origin of all colorectal cancer patients diagnosed during the time of 19 studies with this data, 32.2% had been referred using the Two-Week Rule. Upper GI Cancer: Only 5.5% of patients referred by the Two-Week Rule were eventually diagnosed with Upper GI cancer (n = 23). When examining the referral origin of all Upper GI cancer patients diagnosed during the time of 17 studies with this data, 23.6% had been referred using the Two-Week Rule.Conclusion: The Two-Week Rule is not sufficiently effective in diagnosing neither upper GI nor colorectal cancers in patients presenting to their General Practitioner.
published_date 2009-11-23T20:19:18Z
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score 11.048302

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