Journal
BRITISH JOURNAL OF HAEMATOLOGY
Volume 139, Issue 5, Pages 845-848Publisher
BLACKWELL PUBLISHING
DOI: 10.1111/j.1365-2141.2007.06864.x
Keywords
chronic lymphocytic leukaemia; monoclonal gammopathy of undeteremined significance; monitoring
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Disease progression occurs in over 1% of monoclonal gammopathy of undetermined significance, monoclonal B-cell lymphocytosis and early stage chronic lymphocytic leukaemia patients every year therefore regular monitoring is indicated. We assessed the efficacy of an outreach service to replace clinic monitoring using local phlebotomy with central haematologist review of laboratory parameters and symptoms identified by a patient self-assessment questionnaire. The service was used by 299 patients for 2 years and provided accurate monitoring, improved patient satisfaction, support for primary care and reduced the burden on haematology clinics without an increase in inter-assessment admissions due to disease progression.
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