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Peter Vedsted

Cancer Patient Pathways shortens waiting times and accelerates the diagnostic process of suspected sarcoma patients in Denmark

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Cancer Patient Pathways shortens waiting times and accelerates the diagnostic process of suspected sarcoma patients in Denmark. / Dyrop, Heidi Buvarp; Safwat, Akmal; Vedsted, Peter et al.

I: Health Policy, Bind 113, Nr. 1-2, 11.2013, s. 110-7.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{2eaa42abc95546909ecf0975a69fe6f6,
title = "Cancer Patient Pathways shortens waiting times and accelerates the diagnostic process of suspected sarcoma patients in Denmark",
abstract = "Cancer Patient Pathways (CPPs) for suspected cancer were implemented in Denmark to reduce waiting times for cancer diagnosis and treatment. Our study describes developments in time intervals and tumour size in a natural experiment before and after implementation of the CPP for sarcomas (January 1st, 2009). Medical files for patients referred with suspected sarcoma from other hospitals to Aarhus Sarcoma Centre during 2007-2010 (n=1126) were reviewed for data on milestones, time intervals, performed diagnostics, and tumour size. Results showed a statistically significant reduction in median number of work days in the phase {"}referral to first appointment{"} for all patients. For bone sarcomas, median time was significantly reduced from 11 to five work days in the phase {"}first appointment to decision of treatment{"}, for soft tissue sarcomas it was reduced from 28 to 18 work days in the phase {"}referral to start of treatment{"}. Passive waiting time was reduced, and delays in the fast-track programme were caused mostly by supplementary diagnostics. Median tumour size for soft tissue sarcomas was reduced from 7.0 to 4.9cm, possibly a secondary effect of increased awareness. CPPs have accelerated the diagnostic process for sarcomas, and our results may aid international development of similar initiatives.",
author = "Dyrop, {Heidi Buvarp} and Akmal Safwat and Peter Vedsted and Katja Maretty-Nielsen and Hansen, {Bjarne Hauge} and J{\o}rgensen, {Peter Holmberg} and Thomas Baad-Hansen and Cody B{\"u}nger and Johnny Keller",
note = "Copyright {\textcopyright} 2013 Elsevier Ireland Ltd. All rights reserved.",
year = "2013",
month = nov,
doi = "10.1016/j.healthpol.2013.09.012",
language = "English",
volume = "113",
pages = "110--7",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd.",
number = "1-2",

}

RIS

TY - JOUR

T1 - Cancer Patient Pathways shortens waiting times and accelerates the diagnostic process of suspected sarcoma patients in Denmark

AU - Dyrop, Heidi Buvarp

AU - Safwat, Akmal

AU - Vedsted, Peter

AU - Maretty-Nielsen, Katja

AU - Hansen, Bjarne Hauge

AU - Jørgensen, Peter Holmberg

AU - Baad-Hansen, Thomas

AU - Bünger, Cody

AU - Keller, Johnny

N1 - Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

PY - 2013/11

Y1 - 2013/11

N2 - Cancer Patient Pathways (CPPs) for suspected cancer were implemented in Denmark to reduce waiting times for cancer diagnosis and treatment. Our study describes developments in time intervals and tumour size in a natural experiment before and after implementation of the CPP for sarcomas (January 1st, 2009). Medical files for patients referred with suspected sarcoma from other hospitals to Aarhus Sarcoma Centre during 2007-2010 (n=1126) were reviewed for data on milestones, time intervals, performed diagnostics, and tumour size. Results showed a statistically significant reduction in median number of work days in the phase "referral to first appointment" for all patients. For bone sarcomas, median time was significantly reduced from 11 to five work days in the phase "first appointment to decision of treatment", for soft tissue sarcomas it was reduced from 28 to 18 work days in the phase "referral to start of treatment". Passive waiting time was reduced, and delays in the fast-track programme were caused mostly by supplementary diagnostics. Median tumour size for soft tissue sarcomas was reduced from 7.0 to 4.9cm, possibly a secondary effect of increased awareness. CPPs have accelerated the diagnostic process for sarcomas, and our results may aid international development of similar initiatives.

AB - Cancer Patient Pathways (CPPs) for suspected cancer were implemented in Denmark to reduce waiting times for cancer diagnosis and treatment. Our study describes developments in time intervals and tumour size in a natural experiment before and after implementation of the CPP for sarcomas (January 1st, 2009). Medical files for patients referred with suspected sarcoma from other hospitals to Aarhus Sarcoma Centre during 2007-2010 (n=1126) were reviewed for data on milestones, time intervals, performed diagnostics, and tumour size. Results showed a statistically significant reduction in median number of work days in the phase "referral to first appointment" for all patients. For bone sarcomas, median time was significantly reduced from 11 to five work days in the phase "first appointment to decision of treatment", for soft tissue sarcomas it was reduced from 28 to 18 work days in the phase "referral to start of treatment". Passive waiting time was reduced, and delays in the fast-track programme were caused mostly by supplementary diagnostics. Median tumour size for soft tissue sarcomas was reduced from 7.0 to 4.9cm, possibly a secondary effect of increased awareness. CPPs have accelerated the diagnostic process for sarcomas, and our results may aid international development of similar initiatives.

U2 - 10.1016/j.healthpol.2013.09.012

DO - 10.1016/j.healthpol.2013.09.012

M3 - Journal article

C2 - 24138955

VL - 113

SP - 110

EP - 117

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 1-2

ER -