Neck lump clinics: is on-site assessment of fine needle aspirate diagnostic adequacy cost-effective?
Tóm tắt
To establish the diagnostic adequacy of ultrasound-guided fine needle aspiration cytology samples at the East Berkshire neck lump clinic, and to perform a cost-benefit analysis related to the hypothetical addition of an on-site cytology technician (required to review fine needle aspiration specimen adequacy).
The adequacy of all ultrasound-guided fine needle aspiration procedures was reviewed from 1 January to 30 June 2011. These results were used in the cost-benefit analysis related to on-site cytology assessment.
Of the 307 ultrasound-guided fine needle aspiration cytology procedures performed over 6 months, 67 (22 per cent) were reported to be non-diagnostic. Operator experience was found to correlate significantly with diagnostic adequacy (
In this series, the experience of individuals performing fine needle aspirations was the most important factor related to adequacy.
Từ khóa
Tài liệu tham khảo
Payment by Results 2010–2011 National Tariff Information. In: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_113900.xls [25 March 2012]
2004, Guidance on Cancer Services: Improving Outcomes in Head and Neck Cancers
Ganguly, 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