TY - JOUR
T1 - Implementation and outcomes of the RAPID programme
T2 - Addressing the front end of the lung cancer pathway in Manchester
AU - Evison, Matthew
AU - Hewitt, Kath
AU - Lyons, Judith
AU - Crosbie, Phil
AU - Balata, Haval
AU - Gee, Caroline
AU - Duerden, Rebecca
AU - Greaves, Melanie
AU - Sharman, Anna
AU - Booton, Richard
N1 - Publisher Copyright:
© 2020 Royal College of Physicians. All rights reserved.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - INTRODUCTION: Patients with suspected lung cancer require computed tomography (CT), specialist interpretation of the CT and a consultation with a specialist. Significant time savings could be made with rapid access to these components in the front end of the lung cancer pathway.METHODS: The RAPID programme was launched at Manchester's Wythenshawe Hospital in April 2016. This pathway offers next working day CT for patients with suspected lung cancer, immediate 'hot' reporting of CT images and a same day consultation with a diagnostic specialist.RESULTS: From April 2016 to January 2019, 1,027 patients were referred to the RAPID programme. The median time from referral to CT was 3 days. The CT was hot reported in 94% of patients. The median time from CT to triage and consultation with a diagnostic specialist was 0 days. Overall 56% and 90% of patients had completed a CT and consultation within 3 and 7 days of referral, respectively (0% and 24% prior to implementation).CONCLUSION: Through simple reorganisation of workload, we have significantly reduced the pathway for patients with suspected lung cancer to meet a specialist with a reported CT, something we firmly believe is replicable across all hospitals.
AB - INTRODUCTION: Patients with suspected lung cancer require computed tomography (CT), specialist interpretation of the CT and a consultation with a specialist. Significant time savings could be made with rapid access to these components in the front end of the lung cancer pathway.METHODS: The RAPID programme was launched at Manchester's Wythenshawe Hospital in April 2016. This pathway offers next working day CT for patients with suspected lung cancer, immediate 'hot' reporting of CT images and a same day consultation with a diagnostic specialist.RESULTS: From April 2016 to January 2019, 1,027 patients were referred to the RAPID programme. The median time from referral to CT was 3 days. The CT was hot reported in 94% of patients. The median time from CT to triage and consultation with a diagnostic specialist was 0 days. Overall 56% and 90% of patients had completed a CT and consultation within 3 and 7 days of referral, respectively (0% and 24% prior to implementation).CONCLUSION: Through simple reorganisation of workload, we have significantly reduced the pathway for patients with suspected lung cancer to meet a specialist with a reported CT, something we firmly believe is replicable across all hospitals.
KW - Humans
KW - Lung Neoplasms/diagnosis
KW - Referral and Consultation
KW - Specialization
KW - Tomography, X-Ray Computed
UR - http://www.scopus.com/inward/record.url?scp=85088155216&partnerID=8YFLogxK
U2 - 10.7861/CLINMED.2019-0218
DO - 10.7861/CLINMED.2019-0218
M3 - Article
C2 - 32675147
SN - 1470-2118
VL - 20
SP - 401
EP - 405
JO - Clinical medicine (London, England)
JF - Clinical medicine (London, England)
IS - 4
ER -
