Evidence map›Paper›PMID 38369910›Full record

ArticleThe Journal of laryngology and otology2024

A novel remote assessment pathway to streamline the management of two-week-wait suspected head and neck cancer referrals: a prospective analysis of 660 patients.

Christopher Metcalfe, Soo Oh, Nina Glazzard, Elizabeth Ross, Ajith George

Open access · hybridAbstract read
In one paragraph

Article in The Journal of laryngology and otology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. A nurse-led telephone clinic can safely triage suspected head and neck cancer referrals using the head and neck risk calculator.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Christopher MetcalfeDepartment of Otolaryngology, Royal Stoke University Hospital, University Hospitals North Midlands, Keele University, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0002-8790-2722
Soo OhDepartment of Otolaryngology, Royal Stoke University Hospital, University Hospitals North Midlands, Keele University, Stoke-on-Trent, UK.
Nina GlazzardDepartment of Otolaryngology, Royal Stoke University Hospital, University Hospitals North Midlands, Keele University, Stoke-on-Trent, UK.
Elizabeth RossDepartment of Otolaryngology, Royal Stoke University Hospital, University Hospitals North Midlands, Keele University, Stoke-on-Trent, UK.
Ajith GeorgeDepartment of Otolaryngology, Royal Stoke University Hospital, University Hospitals North Midlands, Keele University, Stoke-on-Trent, UK.
Royal Stoke University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study analyses outcomes for 660 patients managed via a novel telescopic pathway for suspected head and neck cancer referrals.

methodData were collected prospectively between January 2021 and December 2022, capturing all two-week-wait referrals triaged as low risk and managed via a nurse-led clinic for nasendoscopic examination and consultant-led remote assessment.

resultsIn total, 660 patients were included. There were six head and neck cancers diagnosed, giving a conversion rate of 0.9 per cent. Mean (standard deviation) time to informing the patient whether they did or did not have cancer (28-day faster diagnosis standard) was 28.6 days (20.2), with no significant difference observed in patients imaged prior to review (

conclusionLow-risk head and neck cancer referrals can be safely managed in a nurse-led clinic for recorded examination with asynchronous consultant-led management. Further work is required to ensure adherence to the new faster diagnosis standard.

Indexed as

Head and Neck NeoplasmsReferral and ConsultationAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesRemote ConsultationTime FactorsTriageWaiting Listscoronavirus disease 2019head and neck cancertechnologytelemedicine

Identifiers

PMID38369910
PMCPMC11096830
OpenAlexW4391033874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.