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One stop neck lump clinic: a boon for quick diagnosis and early management

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Introduction

One-stop neck lump clinics (OSNLC) are gaining popularity worldwide especially in the UK hospitals following NICE recommendation. The main aim of this speciality clinic is a quick diagnosis and early management while simultaneously improving patient experience.

Objectives

To analyse and compare the efficacy of OSNLC and general ENT/Head and neck clinic with specifics to a number of appointments required for formulating management plan and a number of ‘one stop’ visits.

Design

Retrospective observational study

Setting

Regional Head and Neck Cancer Center (Secondary care hospital)

Participants

Patients referred by General practitioner with symptoms of a neck lump

Main outcome measures

Patients seen in general ENT/Head and neck and OSNLC in 2 phases to understand the difference in a number of appointments, one-stop visits, the requirement of Ultrasound and efficiency of Fine needle aspiration.

Results and conclusions

Improved efficacy of OSNLC was noted as patients seen in the clinic required a lesser number of appointments, reached a faster diagnosis and management plan when compared to patients seen in general ENT clinic.

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Data availability statement

Data for the study were available electronically to the authors as employees at the institution. Data confidentiality, privacy, and storage ensured as per Data Protection Act 2018 and Caldecott’s principle.

References

  1. Murray A, Stewart CJ, McGarry GW, MacKenzie K (2000) Patients with neck lumps: can they be managed in a “one-stop” clinic setting? Clinical Otolaryngology Allied Sci 25(6):471–475

    Article  CAS  Google Scholar 

  2. National Institute for Clinical Excellence. Improving outcomes in Head and Neck Cancers: 2004. https://www.nice.org.uk/guidance/csg6

  3. National Institute for Clinical Excellence Improving outcomes in head and neck cancers: Evidence Update May 2012. https://www.nice.org.uk/guidance/csg6/evidence/evidence-update-may-2012-pdf-2188820845

  4. Cozens NJA (2019) A systematic review that evaluates one-stop neck lump Clinics. Clinical Otolaryngol 34(1):6–11

    Article  Google Scholar 

  5. Linkhorn H, Pandya H, Ramsaroop R, Wade M, Smith K (2019) Neck lump clinic: a new initiative at North Shore Hospital. ANZ J Surgery. 89(7–8):853–857

    Article  Google Scholar 

  6. Witcher TP, Williams MD, Howlett DC (2007) One-stop clinics in the investigation and diagnosis of head and neck lumps. British J Oral Maxillofacial Surgery 45(1):19–22

    Article  CAS  Google Scholar 

  7. Tumati V, Hoang L, Sumer BD et al (2019) Associated between treatment delays and oncologic outcome in patients treated with surgery and radiotherapy for head and neck cancer. Head Neck 41:315–321

    PubMed  Google Scholar 

  8. Addams-Williams J, Watkins D, Owen S, Williams N, Fielder C (2009) Non-thyroid neck lumps: appraisal of the role of Fine needle aspiration cytology. Eur Arch Otorhinolaryngol 266:411–415

    Article  CAS  Google Scholar 

  9. Ganguly A, Giles TE, Smith PA, White FE, Nixon PP (2010) The benefits of on-site cytology with ultrasound guided fine needle aspiration in a one-stop neck lump clinic. Ann R Coll Surg Engl 92:660–664

    CAS  PubMed  PubMed Central  Google Scholar 

  10. C Foot, C Naylor, C Imison - 2010 - kingsfund.org.uk[Internet]. United Kingdom: The kings fund;The quality of GP diagnosis and referral. [Mar 2010] https://www.kingsfund.org.uk/sites/default/files/field/field_document/quality-gp-diagnosis-referral-gq-inquiry-research-paper-mar11.pdf

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Funding

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Authors

Corresponding author

Correspondence to Tarun Sood.

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Conflict of interest

None.

Ethical Considerations

1. Observational study with no direct patient contact in data collection. No interference in routine management, hence a minimal risk study. 2. Data confidentiality, privacy, and storage ensured as per Data Protection Act 2018 and Caldecott’s principle. 3. Decision tool from NHS Research Ethics Committee (REC) http://www.hra-decisiontools.org.uk/ethics/ used to see if ethics approval required. 4. Submit article to single journal only. 5. No involvement of any vulnerable groups or sensitive topics. 6. ‘’Information for Authors” from the journal. 7. Role of authors clearly defined.

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Sood, T., Supriya, M., Thopil, J. et al. One stop neck lump clinic: a boon for quick diagnosis and early management. Eur Arch Otorhinolaryngol 278, 4951–4954 (2021). https://doi.org/10.1007/s00405-021-06729-1

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  • DOI: https://doi.org/10.1007/s00405-021-06729-1

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