OBJECTIVE: To determine the cost to the NHS and the impact on anxiety of a one stop clinic for assessing women with suspected breast cancer. STUDY DESIGN: Randomised controlled trial. PARTICIPANTS: Women aged 35 or over referred with a breast lump. STUDY SETTING:Teaching hospital, north west England. INTERVENTIONS: Women were randomly allocated to attend a one stop clinic or a dedicated breast clinic. OUTCOME MEASURES: Reduction in mean anxiety from baseline at 24 hours after the first visit and at 3 weeks and 3 months after diagnosis; mean cost per patient. RESULTS:670 women were randomised. Compared with women who attended the dedicated clinic, patients attending the one stop clinic were less anxious 24 hours after the visit (adjusted mean change in state anxiety _5.7 (95% confidence interval _8.4 to _3.0)) but not at 3 weeks or 3 months after diagnosis. The additional cost to the NHS of a one stop attendance was pound 32 per woman; this was largely explained by greater cytopathological and radiological staff costs. CONCLUSION: One stop clinics may not be justified in terms of a reduction in short term anxiety.
RCT Entities:
OBJECTIVE: To determine the cost to the NHS and the impact on anxiety of a one stop clinic for assessing women with suspected breast cancer. STUDY DESIGN: Randomised controlled trial. PARTICIPANTS: Women aged 35 or over referred with a breast lump. STUDY SETTING: Teaching hospital, north west England. INTERVENTIONS:Women were randomly allocated to attend a one stop clinic or a dedicated breast clinic. OUTCOME MEASURES: Reduction in mean anxiety from baseline at 24 hours after the first visit and at 3 weeks and 3 months after diagnosis; mean cost per patient. RESULTS: 670 women were randomised. Compared with women who attended the dedicated clinic, patients attending the one stop clinic were less anxious 24 hours after the visit (adjusted mean change in state anxiety _5.7 (95% confidence interval _8.4 to _3.0)) but not at 3 weeks or 3 months after diagnosis. The additional cost to the NHS of a one stop attendance was pound 32 per woman; this was largely explained by greater cytopathological and radiological staff costs. CONCLUSION: One stop clinics may not be justified in terms of a reduction in short term anxiety.
Authors: G P Gui; W H Allum; N M Perry; C A Wells; O M Curling; A McLean; R Oommen; R Carpenter Journal: Ann R Coll Surg Engl Date: 1995-01 Impact factor: 1.891
Authors: G N Honein-AbouHaidar; J S Hoch; M J Dobrow; T Stuart-McEwan; D R McCready; A R Gagliardi Journal: Curr Oncol Date: 2017-10-25 Impact factor: 3.677
Authors: Li Jiang; Julie Gilbert; Hugh Langley; Rahim Moineddin; Patti A Groome Journal: Health Promot Chronic Dis Prev Can Date: 2018-10 Impact factor: 3.240
Authors: M Brouwers; T K Oliver; J Crawford; P Ellison; W K Evans; A Gagliardi; J Lacourciere; D Lo; V Mai; S McNair; T Minuk; L Rabeneck; C Rand; J Ross; J Smylie; J Srigley; H Stern; M Trudeau Journal: Curr Oncol Date: 2009-12 Impact factor: 3.677