期刊
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
卷 39, 期 7, 页码 1291-1295出版社
WILEY
DOI: 10.1002/hed.24784
关键词
anaplastic thyroid carcinoma; clinical trials; multidisciplinary care; quality improvement; thyroid cancer
资金
- University of Texas System
BackgroundAnaplastic thyroid cancer (ATC) is a highly aggressive thyroid cancer. Several treatment trials are available, but the number of eligible patients to participate is very low because of the rarity and aggressiveness of the disease. MethodsFacilitating Anaplastic Thyroid Cancer Specialized Treatment (FAST) is a quality improvement project aimed at decreasing time from referral to disposition (scheduling of first appointment) to our institution. After identifying reasons for delays, we created a new process flow specifically for patients with ATC allowing patients to be scheduled immediately. ResultsHistorical data revealed a mean referral to disposition time for patients with ATC of 8.7 days before our intervention. After the intervention, the mean referral to disposition time was reduced to 0.5 days. Participation in treatment trials for all patients with ATC was 34%. ConclusionSince the implementation of FAST, the access time has decreased and the number of successful referrals for ATC has increased significantly.
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